Anaesthetic management for drainage of frontoparietal abscess in a patient of uncorrected Tetralogy of Fallot

Wajekar, Anjana S; Shetty, Anita; Oak, Sanjay; Jain, Ruchi

doi:10.4103/0019-5049.155003

Cited by 9 publications

(18 citation statements)

References 8 publications

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“…Trisomy 18 was first described by Edwards in the 1960s [4][5][6]. The clinical features of trisomy 18 were characterized by cardiac defects, convulsion, and growth deficiency such as micrognathia, facial clefts, and mental retardation [4][5][6]. It is estimated 1/8000, but most of them die in fetal life [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…The clinical features of trisomy 18 were characterized by cardiac defects, convulsion, and growth deficiency such as micrognathia, facial clefts, and mental retardation [4][5][6]. It is estimated 1/8000, but most of them die in fetal life [5,6]. Approximately 50% of babies with trisomy 18 could live longer than one week, and only five to 10% of babies survive beyond the first year [6].…”

Section: Discussionmentioning

confidence: 99%

“…One of the major causes of death is congenital heart defect. Survival without surgical treatment for cardiac defect is exceedingly rare but reported [5,6]. It might report that her unusual longevity is owed to a well-balanced intracardiac shunt and good pulmonary blood flow via large branch pulmonary arteries with enough restriction to avoid overcirculation [6].…”

Section: Discussionmentioning

confidence: 99%

“…The goals of anesthetic management for the patient with untreated TOF were to maintain in systemic vascular resistance (SVR) and to avoid decrease in pulmonary vascular resistance (PVR) [3.5]. It is important to maintain SVR, since SVR was relative to PVR minimizes right-to-left shunting [5]. In this case, during anesthesia, transfusion was administered with reference to urine volume and hemodynamics changes such as CO, SV and SVV.…”

Section: Discussionmentioning

confidence: 99%

“…However, the mortality rate is high around the perioperative period in trisomy 18 patients. On the other hand, very few reports have examined the anesthetic management for long survival patients [4][5][6]. Therefore, untreated TOF can be greater risk for general anesthesia.…”

Section: Introductionmentioning

confidence: 99%

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The anesthetic management for a special needs patient with trisomy 18 accompanying untreated tetralogy of Fallot

Tsukamoto

Hitosugi

Esaki

et al. 2017

Egyptian Journal of Anaesthesia

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Special needs patients with mental retardation are recognized to have poorer oral health condition. Oral health related quality of life reflects daily activity and well-being. Dental treatment under general anesthesia is often an option for such patients. Trisomy 18 is characterized by congenital heart disease, craniofacial abnormality and mental retardation. Congenital heart disease can be greater risk during anesthesia. In the case of trisomy 18 with untreated tetralogy of Fallot, especially right-to-left shunting and/or pulmonary artery stenosis may reduce pulmonary blood flow, and may develop life-threatening hypoxemia. We anesthetized a patient with trisomy 18 accompanying untreated tetralogy of Fallot for dental treatment. The hemodynamics including cardiac output has been monitored non-invasively using electrical velocimetry method. Its systemic vascular resistance and pulmonary vascular resistance were maintained appropriately, and dental treatments were successfully completed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The anesthetic management for a special needs patient with trisomy 18 accompanying untreated tetralogy of Fallot

Tsukamoto

Hitosugi

Esaki

et al. 2017

Egyptian Journal of Anaesthesia

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Feature Extraction and Small-Sample Learning of Dexmedetomidine for Neurosurgery on Postoperative Agitation in Patients with Craniocerebral Injury

Ding

Wang

2022

Computational Intelligence and Neuroscience

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Objective. To observe the controlled effect of dexmedetomidine for neurosurgery and the effect on postoperative cognitive function. The main task of this paper is to use data from a small sample. The proposed feature extraction algorithm based on the bilinear convolutional neurological network (BCNN) is based on a small sample of data. BCNN involves the simultaneous extraction of highly discriminative cross-sectional features from the input image using two parallel subnetworks. By optimizing the algorithm to minimize losses, the two subnetworks can be supervised by each other, improving the performance of the network and obtaining accurate recognition results without spending a lot of time adjusting parameters. The mean arterial pressure (MAP) and heart rate (HR) levels of cerebral oxygen metabolism were compared between the two groups before (T0), after (T1), immediately after (T2), and after intubation (T3). In the observation group, MAP and HR values at T3, arterial-internal jugular vein bulb oxygen difference [ D a − j v O 2 ] at T1, T2, and T3, cerebral oxygen uptake ( CEO 2 ) levels, and postawakening agitation scores were lower than those of the control group during the same period ( P < 0.05 ).

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A case of three year child with uncorrected tetralogy of Fallot for drainage of fronto-parietal abscess

2015

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The Tetralogy Fallot was one of the commonest Right to Left shunting disease in the children. TOF is most common in association with brain abscess (13-70%). This case is of a 3 year old child who had tetralogy of Fallot (uncorrected) and was to be taken for drainage of Fronto-Parietal sub dural abscess via Burr hole. The abscess was drained and patient was shifted with inotropes and ventilator support. In next 24 hours patient improved and supports were gradually withdrawn.

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Anaesthetic management for drainage of frontoparietal abscess in a patient of uncorrected Tetralogy of Fallot

Cited by 9 publications

References 8 publications

The anesthetic management for a special needs patient with trisomy 18 accompanying untreated tetralogy of Fallot

The anesthetic management for a special needs patient with trisomy 18 accompanying untreated tetralogy of Fallot

Feature Extraction and Small-Sample Learning of Dexmedetomidine for Neurosurgery on Postoperative Agitation in Patients with Craniocerebral Injury

A case of three year child with uncorrected tetralogy of Fallot for drainage of fronto-parietal abscess

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