دورية أكاديمية
Laparoscopic colectomy in an adult with single ventricle physiology: anesthetic implications and management.
| العنوان: | Laparoscopic colectomy in an adult with single ventricle physiology: anesthetic implications and management. |
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| المؤلفون: | Zach KJ; Department of Anesthesia, Division of Cardiothoracic Anethesia, Mayo Clinic Hospital, Phoenix, AZ, USA., Ramakrishna H, Chandrasekaran K, Weis RA |
| المصدر: | Annals of cardiac anaesthesia [Ann Card Anaesth] 2015 Apr-Jun; Vol. 18 (2), pp. 252-6. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Medknow Country of Publication: India NLM ID: 9815987 Publication Model: Print Cited Medium: Internet ISSN: 0974-5181 (Electronic) Linking ISSN: 09719784 NLM ISO Abbreviation: Ann Card Anaesth Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2008-> : Mumbai : Medknow Original Publication: [New Delhi : Indian Association of Cardiovascular Thoracic Anaesthesiologists |
| مواضيع طبية MeSH: | Colectomy* , Laparoscopy*, Anesthesia/*methods , Heart Defects, Congenital/*complications , Heart Ventricles/*abnormalities , Inflammatory Bowel Diseases/*complications , Inflammatory Bowel Diseases/*surgery, Adult ; Anesthetics, Intravenous ; Etomidate ; Fentanyl ; Heart Defects, Congenital/diagnostic imaging ; Heart Ventricles/diagnostic imaging ; Humans ; Male ; Neuromuscular Depolarizing Agents ; Succinylcholine ; Ultrasonography |
| مستخلص: | Increasing numbers of adult patients with complex congenital heart conditions are presenting for noncardiac surgery later in life. These disorders can present challenges for surgical and anesthesia providers. Specifically, single ventricle lesions offer anatomic and physiologic concerns during the perioperative period. Single ventricle physiology represents a delicate balance between systemic and pulmonary blood flow. Any alterations in blood flow through these systems can produce undesirable hemodynamic changes, especially during the perioperative period. We present a case of an adult patient with a single left ventricle who presented for laparoscopic total colectomy due to inflammatory bowel disease. His abnormal anatomy coupled with the hemodynamic disruptions caused by laparoscopy presented significant anesthetic challenges. We highlight the anesthetic concerns of single ventricle physiology, specifically pertaining to laparoscopic surgery. We provide recommendations for safely managing these patients perioperatively. With detailed preoperative evaluation and close hemodynamic monitoring during the perioperative period, these patients can experience successful surgical and anesthetic outcomes. |
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| المشرفين على المادة: | 0 (Anesthetics, Intravenous) 0 (Neuromuscular Depolarizing Agents) J2R869A8YF (Succinylcholine) UF599785JZ (Fentanyl) Z22628B598 (Etomidate) |
| تواريخ الأحداث: | Date Created: 20150408 Date Completed: 20160115 Latest Revision: 20181113 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4881640 |
| DOI: | 10.4103/0971-9784.154495 |
| PMID: | 25849703 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0974-5181 |
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| DOI: | 10.4103/0971-9784.154495 |