1887

n Cardiovascular Journal of Africa - Anesthetic management of a newborn with trisomy 18 undergoing closure of patent ductus arteriosus and pulmonary artery banding : online article - case report

Volume 25, Issue 4
  • ISSN : 1995-1892
USD

 

Abstract

Peri-operative management of infants with trisomy 18 syndrome is challenging due to various congenital cardiac and facial anomalies.


We report the anaesthetic management of a 13-day-old neonate with 1 540 g body weight, undergoing closure of patent ductus arteriosus and pulmonary artery banding. Anaesthesia was induced with sevoflurane, fentanyl and rocuronium. Despite dysmorphic facial features, ventilation and endotracheal intubation were achieved uneventfully. Anaesthesia was maintained with sevoflurane and fentanyl and was uneventful. The patient was transferred to the neonatal ICU intubated and with ventilatory support. The baby was extubated on the second day post-operatively.
Our knowledge of the proper anaesthetic technique for children undergoing palliative or corrective surgery is limited. Further case reports will increase our experience in peri-operative management of children with trisomy 18.

Loading full text...

Full text loading...

Loading

Article metrics loading...

/content/cardio1/25/4/EJC157316
2014-07-01
2016-12-11

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error