[Anesthesia of more than 8 hours in cardiac surgery for babies 10 kg or less (author's transl)].
25 cases of total correction of complex congenital heart disease operated from January 77 to May 79 at Laënnec Hospital in Professor J. Mathey's department of thoracic and cardiovascular surgery. All 25 cases were of small weight: to kg or less. We studied the following problems: --Anaesthetic technics --Methods and means of observation --The different anomalies: .pulmonary .haemodynamical .metabolical .renal .neurological --and the different causes of death. 16 of the 25 patients studied died, 11 of whom within the first 48 hours after surgery. We concluded that in no case death can be attributed to the long duration of anaesthesia. Complications due to long-duration anaesthesia can be avoided by systematically controlling the haemodynamical, respiratory and metabolical parameters, and maintaining the viral functions within physiological limits.
D000768:Anesthesia, General / Q000009:adverse effects; D001835:Body Weight; D002318:Cardiovascular Diseases / Q000209:etiology; D002675:Child, Preschool; D005112:Extracorporeal Circulation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007239:Infections / Q000209:etiology; D007674:Kidney Diseases / Q000209:etiology; D008171:Lung Diseases / Q000209:etiology; D009422:Nervous System Diseases / Q000209:etiology; D011183:Postoperative Complications / Q000401:mortality; D013771:Tetralogy of Fallot / Q000601:surgery*; D013997:Time Factors; D014188:Transposition of Great Vessels / Q000601:surgery*
L'anesthésie de longue durée. Chirurgie cardiaque chez l'enfant de moins de 10 kg.