| Autor: |
Makoto Sumie, Nozomi Kameyama, Taiki Akasaka, Yuto Tanaka, Taichi Ando, Tadashi Kandabashi, Yuji Karashima, Ken Yamaura |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
JA Clinical Reports, Vol 8, Iss 1, Pp 1-4 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2363-9024 |
| DOI: |
10.1186/s40981-022-00582-9 |
| Popis: |
Abstract Background Hepatectomy for patients with Fontan circulation consists of high central venous pressure and low pulmonary vascular resistance, and is challenging for physicians. Case presentation We performed anesthetic management for hepatectomy in three patients with Fontan circulation. Massive bleeding and transfusion as well as careful management were needed. Open abdominal surgery had to be conducted instead of laparoscopic surgery for controlling bleeding in one case. We successfully performed general anesthesia using nitric oxide and inotropes while monitoring arterial pressure and central venous pressure in all the cases. Conclusions To maintain Fontan circulation during hepatectomy, it is important to manage central venous pressure and ensure appropriate circulatory volume. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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