Anesthetic management for perventricular closure of ventricular septal defect under transesophageal echocardiography
10.3760/cma.j.jssn.1673-4904.2016.08.004
- VernacularTitle:食管超声引导下经右心室穿刺室间隔缺损封堵术的麻醉管理
- Author:
Gaofeng ZHAO
;
Yongyong SHI
;
Yansheng CHEN
;
Fei YE
- Publication Type:Journal Article
- Keywords:
Anesthesia;
Child;
Echocardiography,transesophageal;
Heart septal defects,ventricular;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(8):685-687
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the anesthetic management of perventricular closure of ventricular septal defects (VSD) under transesophageal echocardiography. Methods A retrospective review of the clinical data of 52 children who underwent perventricular closure of VSD under transesophageal echocardiography were analyzed. All the children were performed tracheal intubation under general anesthesia, and the electrocardiogram, pulse blood oxygen saturation, invasive arterial pressure, central venous pressure, end tidal carbon dioxide partial pressure, temperature and urine output were continuously monitored throughout the procedure. The transesophageal echocardiography was necessary for guiding transcatheter or per-ventricular device placement. Results Perventricular closure of VSD was successfully completed in 51 children under transesophageal echocardiography, the operation time was (76.7 ± 36.4) min, the anesthesia time was (89.5 ± 27.1) min; 1 child was converted to open surgical repair. Conclusions The intraoperative transesophageal echocardiography technology is the key to the success of the surgery. At the same time of analgesia and sedation, the anesthesia doctor needs to pay attention to the changes of hemodynamics in children.
