LIFE-THREATENING COMPLICATIONS DURING ANESTHESIA IN A PATIENT WITH A VENTRICULOATRIAL SHUNT AND PULMONARY-HYPERTENSION

被引：5

作者：

BUTLER, PJ ^{[1
]}

WHEELER, RA ^{[1
]}

SPARGO, PM ^{[1
]}

机构：

[1] SOUTHAMPTON GEN HOSP,SHACKLETON DEPT ANAESTHET,SOUTHAMPTON SO9 4XY,HANTS,ENGLAND

来源：

ANAESTHESIA | 1990年 / 45卷 / 11期

关键词：

Anaesthesia; neurosurgical; cerebrospinal fluid shunt; Lung; pulmonary hypertension;

D O I：

10.1111/j.1365-2044.1990.tb14626.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A 6‐year‐old patient with hydrocephalus who underwent revision of a ventriculo‐atrial shunt is described. Anaesthesia was complicated by the occurrence of systemic hypertension and arterial hypoxaemia. The patient was subsequently found to have pulmonary hypertension secondary to recurrent pulmonary thromboembolism. The pathophysiological mechanisms for the patient's deterioration are discussed and the anaesthetic management of children with pulmonary hypertension is outlined. It is concluded that patients with a ventriculo‐atrial shunt who present for surgery should be screened carefully for the presence of pulmonary hypertension. Copyright © 1990, Wiley Blackwell. All rights reserved

引用

页码：946 / 948

页数：3

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