Anesthesia supplemented with subarachnoid bupivacaine and morphine for coronary artery bypass surgery in a child with Kawasaki disease
| Autor: | Charles MacAdams, Stuart G. Neil, Jennifer Froelich, Richard Kowalewski, Andrew Maitland |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
medicine.medical_specialty Heart disease Mucocutaneous Lymph Node Syndrome Anesthesia Spinal Coronary artery disease Coronary artery bypass surgery medicine Humans Anesthesia cardiovascular diseases Anesthetics Local Coronary Artery Bypass Child Bupivacaine Morphine business.industry Vascular disease medicine.disease Surgery Cardiac surgery Analgesics Opioid Anesthesiology and Pain Medicine medicine.anatomical_structure Kawasaki disease Cardiology and Cardiovascular Medicine business medicine.drug Artery |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 10:243-246 |
| ISSN: | 1053-0770 |
| Popis: | AWASAKI disease is a major cause of acquired heart disease in children in North America. I Twenty percent of untreated children develop cardiovascular sequelae of coronary artery aneurysms and stenoses. In one percent of cases, giant coronary artery aneurysms or occlusions may occur, and coronary artery bypass surgery (CABG) may be required. 2 Although surgically more difficult to perform, internal mammary artery grafts provide better long-term patency than saphenous vein grafts in children. 3 Postoperatively, avoidance of unnecessary controlled ventilation and excellent control of pain are priorities in children undergoing cardiac surgery. Use of spinal opioids in cardiac surgery has been reported in adults and children. 4,5 The authors have reported anesthesia for CABG in adults supplemented with subarachnoid bupwacaine and morphine. 6 Waldron reported on the anesthetic implications of Kawasakl disease, but there are no reports in the hterature on anesthetic management for CABG for Kawasaki disease in children. 7 Therefore, the case of a 10-year-old boy who underwent CABG using bilateral internal mammary artery grafts under general anesthesia supplemented with subarachnold bupivacaine and morphine is reported. |
| Databáze: | OpenAIRE |
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