A 1-day-old infant was found to have congenital heart disease during prenatal examination. Symptoms of cyanosis, difficulty in breathing, and low pulse oxygen saturation (SpO2) appeared immediately after birth. He was then transferred to our hospital for further treatment in an emergency. Echocardiography demonstrated obstructed total anomalous pulmonary venous connection (TAPVC), and emergency corrective surgery of TAPVC was scheduled. Severe preoperative hypoxemia, acidosis, and circulatory failure significantly increase the risk of anesthesia in this infant. In perioperative comprehensive anesthetic management, the key points include the regulation of mechanical ventilation, application of vasoactive drugs, regulation of acid–base balance, and blood protection, which can help such infants safely pass through the perioperative period.

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Anesthetic Management for Surgical Correction of Neonatal Obstructive Total Anomalous Pulmonary Venous Connection

  • Jingjing Lv

摘要

A 1-day-old infant was found to have congenital heart disease during prenatal examination. Symptoms of cyanosis, difficulty in breathing, and low pulse oxygen saturation (SpO2) appeared immediately after birth. He was then transferred to our hospital for further treatment in an emergency. Echocardiography demonstrated obstructed total anomalous pulmonary venous connection (TAPVC), and emergency corrective surgery of TAPVC was scheduled. Severe preoperative hypoxemia, acidosis, and circulatory failure significantly increase the risk of anesthesia in this infant. In perioperative comprehensive anesthetic management, the key points include the regulation of mechanical ventilation, application of vasoactive drugs, regulation of acid–base balance, and blood protection, which can help such infants safely pass through the perioperative period.