General anesthesia with isoflurane for diaphragmatic hernia repair during ECMO.
Isoflurane has been administered via the oxygenator of the extracorporeal membrane oxygenation (ECMO) circuit to provide anesthesia and prevent hemodynamic instability during surgical repair of congenital diaphragmatic hernia. A comparison of a series of patients treated with isoflurane demonstrates that there is less fluctuation in heart rate and blood pressure than when surgery is performed under fentanyl analgesia alone.
Department of Anesthesia, Childrens Hospital Los Angeles, University of Southern California 90027.
J B
JB
Atkinson
R
R
Hamid
D J
DJ
Steward
D000768:Anesthesia, General; D001794:Blood Pressure / Q000187:drug effects; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation; D005283:Fentanyl / Q000494:pharmacology; D006439:Hemodynamics / Q000187:drug effects; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn; D007432:Intraoperative Period; D007530:Isoflurane / Q000494:pharmacology; D009599:Nitroprusside / Q000008:administration & dosage
D009599:Nitroprusside; D007530:Isoflurane; D005283:Fentanyl