The anesthetic management of remedy operation for coarctation of aorta in infants and children
- VernacularTitle:小儿主动脉缩窄矫正手术的麻醉处理
- Author:
Mingqing PENG
- Publication Type:Journal Article
- Keywords:
Anesthesia;
Coarctation of aorta;
Controlled hypotension;
Hypothermy;
Pediatrics
- From:
Journal of Chongqing Medical University
2007;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the anesthetic management of remedy operation for coarctation of aorta in infants and children.Methods:The anesthetic data of thirty-two patients undergoing remedy operation for coarctation of aorta in infants and children from Jan,2000 to Nov,2006 were reviewed retrospectively.Results:All cases underwent remedy operation for coarctation of aorta under general anaesthesia,controlled hypotension with nitroprusside sodium or glycerol trinitrate,and at low temperature,with the different blood pressure of upper limbs and lower limbs maintained during the operation.When anaesthesia was induction and the aorta blocked,the difference in blood pressure of upper limbs and lower limbs is statistically remarkable(P0.05).The complication such as acute heart failure,arrhythmia and kidney function failure did not happen except in 3 cases with high blood pressure and 12 cases with hypotension.Conclusions:The key of anesthetic treatment for coarctation of aorta in infants and children should be anesthetic selection,controlled hypotension,low temperature during operation and prevention of complications
