Anaesthetic Management of a Case of Necrotising Fascitis with Uncorrected Tetralogy of Fallot with Scoliosis Posted for Debridement

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease, characterized by aortic overriding, right ventricular hypertrophy, pulmonary stenosis (PS) and ventricular septal defect (VSD). When left untreated, survival to adulthood is rare. There are few case reports of uncorrected TOF surviving to adulthood and then presenting for noncardiac surgeries. We present a case of debridement of a necrotizing fasciitis under low dose spinal anaesthesia, in a patient of uncorrected TOF with scoliosis and cushingoid features.

Apert Syndrome: Anaesthetic Challenges In Child Posted For VP Shunting.

Apert Syndrome or “Acrocephalosyndactyly” is a rare syndrome comprising of multiple congenital anomalies, like turribrachycephaly, midface hypoplasia, syndactyly, orbital hypertelorism, small mandible etc., most of which complicate the airway management. Raised intracranial pressure and difficult venous access are other major challenges in the anesthetic management. We hereby describe our experience of anesthetic management of a 5 year old child with this syndrome posted for Ventriculoperitoneal shunting.