Anesthetic management for repair of tetralogy of Fallotin adults

VernacularTitle:成年患者法洛四联症矫治术的麻醉处理
Author: Jianhui WANG ; Zhiyan HAN ; Lin LIN ; Fuxia YAN ; Lihuan LI
Publication Type:Journal Article
Keywords: Tetralogy of Fallot; Cardiac surgical procedures; Adult; Anesthesia
From: Chinese Journal of Anesthesiology 2010;30(7):787-789
CountryChina
Language:Chinese
Abstract: Two hundred and thirty-five patients of both sexes (123 male,112 female) aged 18-54 yr,weighing 35-62 kg underwent repair of tetralogy of Fallot from January 1996 to July 2009 in Fuwai hospital.Direct BP, ECG,CVP,SpO2,naso-pharyngeal temperature and TEE were continuously monitored during operation.Anesthesia was induced with midazolam and/or etomidate, fentanyl and pipecuronium and maintained with isoflurane/sevoflurane inhalation and intermittent iv boluses of fentanyl and pipecuronium. The total amount of fentanyl administered ranged from 30-50 μg/kg. Cardiac function was supported and hemodynamic stability was maintained with vasoactive and inotropic drugs. Measures were taken to strengthen blood conservation and respiratory function support.Seven patients(2.9%) needed urgent CPB during operation because of serious cyanotic spells. Perfusion-induced lung injury occurred in 18 patients (7.6%). Circulation was assisted by ECMO in 2 patients (0.9%). Three patients (1.3%) died of serious low cardiac output and perfusion-induced lung injury.