Anaesthetic Management of an Infant with Myocarditis for Non-Cardiac Surgery

We report a case of two months old infant diagnosed with acute myocarditis, with a ventricular septal defect (VSD) of 0.9 mm size, admitted to our hospital with gangrene of left foot. A below knee amputation was planned under general anaesthesia with caudal block. Digoxin and diuretics were continued. Induction was done with fentanyl and sevoflurane and supraglottic device was used to secure the airway. Caudal block with bupivacaine was administered.The recovery was satisfactory and postoperative stay was uneventful.