This case report is about a four year old boy diagnosed since birth to have TOF. He had a co-existing cerebral infarct secondary to a cerebrovascular accident that occurred at age 3 years. Lately, he was manifesting signs and symptoms of increasing intracranial pressure secondary to brain abscess. The challenge posed is the frequent occurrence of hypercyanotic spells in this patient. How the anesthesiologist circumvented a severe case of intraoperative "tet" spells is hereby presented.
Human ; Male ; Child Preschool ; SURGERY ; ANESTHESIOLOGISTS ; INTRACRANIAL PRESSURE ; TETRALOGY OF FALLOT ; HEMODYNAMIC ; PEDIATRICS ; PHENYLEPHRINE