Anesthesia for Surgical Fixation of the Fractured Neck of Femur in a Patient with Eisenmenger's Syndrome : A case report
Anesthesia and Pain Medicine
;
: 40-43, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-173145
ABSTRACT
Eisenmenger's syndrome consists of high pulmonary vascular resistance with reversed or bidirectional shunt at aortopulmonary, ventricular, or atrial level. Noncardiac surgery for a patient with this syndrome is challenging because both the perioperative morbidity and mortality are high. We describe the anesthetic management of a 66-year-old female patient with Eisenmenger's syndrome secondary to the tetralogy of Fallot (TOF), who was operated on for the fractured neck of her left femur. Anesthesia was induced with etomidate and sufentanil and was maintained with propofol and sufentanil without any inhalational anesthetics (total intravenous anesthesia). To maintain the systemic vascular resistance, we administered norepinephrine throughout the surgery and the postoperative care. The patient was discharged 20 days after the operation without any complications.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cuidados Pós-Operatórios
/
Tetralogia de Fallot
/
Resistência Vascular
/
Norepinefrina
/
Propofol
/
Sufentanil
/
Complexo de Eisenmenger
/
Etomidato
/
Fêmur
/
Anestesia
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2008
Tipo de documento:
Artigo
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