Anaesthetic management of a premature low-birth-weight neonate with congenital complete heart block for implantation of temporary epicardial pacing wires
Singapore medical journal
;
: e9-11, 2014.
Article
in English
| WPRIM
| ID: wpr-337793
ABSTRACT
The optimal anaesthetic management of neonates with complete congenital heart block (CCHB) is unknown, as there is a low incidence of such cases. Neonates with CCHB often require surgery for the initiation of electronic pacing. In addition to the challenges of anaesthetising a neonate, this procedure is risky due to the potential for hypotension, arrhythmias and cardiac arrest. We herein present the case of a premature low-birth-weight neonate with antibody-related CCHB and normal heart structure who underwent anaesthesia and surgery for epicardial pacing wire insertion on Day 1 of life. We also compare our patient's anaesthetic conduct and outcome with similar previously reported cases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pacemaker, Artificial
/
Arrhythmias, Cardiac
/
Therapeutics
/
Treatment Outcome
/
Infant, Very Low Birth Weight
/
Therapeutic Uses
/
Heart Block
/
Hemodynamics
/
Hypotension
/
Anesthetics
Limits:
Adult
/
Female
/
Humans
/
Infant, Newborn
Language:
English
Journal:
Singapore medical journal
Year:
2014
Type:
Article
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