ANESTHETIC MANAGEMENT OG A 656-G NEONATE UNDERGOING PULMONARY VALVOTOMY

被引:1
作者
NISHIDA, T
KINOUCHI, K
TASHIRO, C
KISHIMOTO, H
ISHII, N
机构
[1] OSAKA MED CTR & RES INST MATERNAL & CHILD HLTH,DEPT ANAESTHESIOL,IZUMI,OSAKA 59002,JAPAN
[2] OSAKA MED CTR & RES INST MATERNAL & CHILD HLTH,DEPT CARDIOVASC SURG,IZUMI,OSAKA 59002,JAPAN
[3] OSAKA MED CTR & RES INST MATERNAL & CHILD HLTH,DEPT NEONATOL,IZUMI,OSAKA 59002,JAPAN
关键词
ANESTHESIA; PEDIATRIC; NEONATES; COMPLICATIONS; STENOSIS;
D O I
10.1093/bja/74.1.95
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe the successful management of a 656-g preterm infant of 29 weeks' postconceptional age undergoing closed transventricular pulmonary valvotomy. The patient had a critical pulmonary stenosis and was treated with an infusion of prostaglandin E(1), which resulted in excessive pulmonary blood flow through the ductus arteriosus. The key points in anaesthetic management were maintaining an optimum balance between the systemic and pulmonary circulation and preparing for the abrupt haemodynamic change caused by valvotomy.
引用
收藏
页码:95 / 97
页数:3
相关论文
共 12 条
[1]  
BOHN D, 1988, PEDIATRIC CARDIAC AN, P269
[2]   THE INDEPENDENT EFFECTS OF HYPERVENTILATION, TOLAZOLINE, AND DOPAMINE ON INFANTS WITH PERSISTENT PULMONARY-HYPERTENSION [J].
DRUMMOND, WH ;
GREGORY, GA ;
HEYMANN, MA ;
PHIBBS, RA .
JOURNAL OF PEDIATRICS, 1981, 98 (04) :603-611
[3]   SURGICAL-TREATMENT OF PATENT DUCTUS-ARTERIOSUS IN PRETERM INFANTS - 4-YEAR EXPERIENCE WITH LIGATION IN THE NEWBORN INTENSIVE-CARE UNIT [J].
EGGERT, LD ;
JUNG, AJ ;
MCGOUGH, EC ;
RUTTENBERG, HD .
PEDIATRIC CARDIOLOGY, 1982, 2 (01) :15-18
[4]   PROSTAGLANDIN-E1 IN INFANTS WITH DUCTUS ARTERIOSUS-DEPENDENT CONGENITAL HEART-DISEASE [J].
FREED, MD ;
HEYMANN, MA ;
LEWIS, AB ;
ROEHL, SL ;
KENSEY, RC .
CIRCULATION, 1981, 64 (05) :899-905
[5]  
HICKEY PR, 1984, ANESTH ANALG, V63, P117
[6]  
HICKEY PR, 1989, PEDIATRIC ANESTHESIA, V2, P833
[7]  
LIPMAN B, 1982, PEDIATRICS, V69, P778
[8]  
MIKHAIL M, 1982, J THORAC CARDIOV SUR, V83, P349
[9]  
MORGAN P, 1987, ANESTH ANALG, V66, P1028
[10]   INHALED NITRIC-OXIDE IN CONGENITAL HEART-DISEASE [J].
ROBERTS, JD ;
LANG, P ;
BIGATELLO, LM ;
VLAHAKES, GJ ;
ZAPOL, WM .
CIRCULATION, 1993, 87 (02) :447-453