Non-cardiac Surgery in a Child with Major Congenital Heart Disease: A Challenge to Safe Anaesthesia
| Autor: | KO Ogundipe, IA Adigun, IK Kolawole |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Heart disease business.industry General Medicine medicine.disease Congenital cardiovascular anomaly Increased risk Non cardiac surgery Anesthesia Anaesthesia non-cardiac surgery congenital heart disease non-specialist cardiac centre limited facilities medicine Bilateral complete cleft lip General anaesthesia Intensive care medicine business |
| Zdroj: | African Journal of Anaesthesia and Intensive Care; Vol 8, No 1 (2008); 15-18 |
| ISSN: | 0794-2184 |
| DOI: | 10.4314/ajaic.v8i1.47979 |
| Popis: | Surgery in children with congenital heart disease poses an increased risk of morbidity and mortality. Ideally such children should be managed in specialist cardiac centres. However, it is not unusual in developing countries for the patients to present in non-specialist centres. This was the case with a 5 month old baby who presented at our hospital with a major and severe cyanotic congenital cardiovascular anomaly for the repair of a bilateral complete cleft lip. The parents declined referal to a specialist cardiac centre. The surgery was successfully done under general anaesthesia despite the limited facilities. It is important that all anaesthetists are familiar with the basic principles involved in the management of these patients. Appropriate cardiologist consultation and close collaboration between the surgical, anaesthetic and nursing teams, is also critical to a successful outcome. Keywords: Anaesthesia, non-cardiac surgery, congenital heart disease, non-specialist cardiac centre, limited facilities. |
| Databáze: | OpenAIRE |
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