Anaesthetic management of a premature low-birth-weight neonate with congenital complete heart block for implantation of temporary epicardial pacing wires.
- Author:
Oriana NG
1
;
Shahani Jagdish SHAHANI
Author Information
1. Department of Anaesthesiology, Block 6, Level 2, Singapore General Hospital, Outram Road, Singapore 169608. oriana.ng@sgh.com.sg.
- Publication Type:Case Reports
- MeSH:
Adult;
Anesthetics;
therapeutic use;
Arrhythmias, Cardiac;
prevention & control;
Female;
Heart Block;
congenital;
therapy;
Hemodynamics;
Humans;
Hypotension;
prevention & control;
Infant, Newborn;
Infant, Very Low Birth Weight;
Pacemaker, Artificial;
Treatment Outcome
- From:Singapore medical journal
2014;55(1):e9-11
- CountrySingapore
- Language:English
-
Abstract:
The optimal anaesthetic management of neonates with complete congenital heart block (CCHB) is unknown, as there is a low incidence of such cases. Neonates with CCHB often require surgery for the initiation of electronic pacing. In addition to the challenges of anaesthetising a neonate, this procedure is risky due to the potential for hypotension, arrhythmias and cardiac arrest. We herein present the case of a premature low-birth-weight neonate with antibody-related CCHB and normal heart structure who underwent anaesthesia and surgery for epicardial pacing wire insertion on Day 1 of life. We also compare our patient's anaesthetic conduct and outcome with similar previously reported cases.
