[Anesthetic management of an infant with a single ventricle (asplenia syndrome) for non-cardiac surgery].
Ketamine and fentanyl were used for surgery of esophageal hiatus hernia in a 9 month old boy with single ventricle (asplenia syndrome). The patient was orally premedicated with diazepam 2.5 mg, and intravenously with atropine 0.04 mg. General anesthesia was induced with ketamine-fentanyl-pancuronium-100% oxygen, and maintained with fentanyl-pancuronium-100% oxygen. The total dose of ketamine or fentanyl was 0.8 mg.kg-1 or 15 micrograms.kg-1, respectively. Systolic blood pressure and heart rate of the patient were stable during ketamine-fentanyl anesthesia. Arterial oxygen saturation measured by pulse oximetry was over 90% and arterial oxygen tension was above 60 mmHg during the operation. Ketamine-fentanyl anesthesia might be useful for non-cardiac surgery of a child with cyanotic congenital heart disease.
Uchida
K
K
2nd Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi.
Ando
T
T
Okuda
C
C
D000768:Anesthesia, General / Q000379:methods*; D005283:Fentanyl; D006352:Heart Ventricles / Q000002:abnormalities*; D006551:Hernia, Hiatal / Q000601:surgery*; D006801:Humans; D007223:Infant; D007649:Ketamine; D008297:Male; D013154:Spleen / Q000002:abnormalities*; D013577:Syndrome
D007649:Ketamine; D005283:Fentanyl