Anaesthetic Management in Scoliosis Surgery in a Patient with Fontan Circulation
DOI:
https://doi.org/10.25751/rspa.17649Keywords:
Anesthetics/therapeutic use; Fontan Procedure; Heart Defects, Congenital; Scoliosis/surgeryAbstract
The anesthetic management of patients with Fontan physiology can become very complex, particularly in invasive non-cardiac surgeries, such as surgery to scoliosis. The aim of the present study is to revisit the Fontan physiology and to systematize some behaviors and important choices that must be taken in the anesthesia of these patients. It is important to maintain adequate preload, hemodynamic stability and prevention of elevated pulmonary vascular resistance in these patients to allow for an effective pulmonary perfusion.
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2. Kothandan H, Leanne LM, Shah SK. Fontan physiology: Anaesthetic implications for non-cardiac surgery: a case report. Int J Anesthetics Anesthesiol. 2015;2:020
3. Allman K, Wilson I, O´Donnell A. Oxford Handbook of Anaesthesia. Oxford; 2016.
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