title: [Left heart failure in anesthesia in a child pretreated with propranolol--case report].
abstract: A 13-year-old girl suffering from nephrogenic hypertension, treated with high-dose propranolol and other antihypertensive medication, developed acute hypoxaemia (oxygen saturation at 60% at 100% oxygen ventilation) shortly after induction of anaesthesia. The auscultatory findings first suggested bronchospasm; however, specific measures failed to improve pulmonary function. The planned procedure was delayed and further investigations showed acute left heart failure due to beta-blockade combining with general anaesthesia.
authors.affiliation: Institut für Anaesthesiologie, Technischen Universität München, Klinikum rechts der Isar.
authors.forename: R
authors.initials: R
authors.lastname: Wagner
authors.forename: B
authors.initials: B
authors.lastname: von Hundelshausen
authors.forename: G
authors.initials: G
authors.lastname: Tempel
authors.forename: H J
authors.initials: HJ
authors.lastname: Schneck
authors.forename: R
authors.initials: R
authors.lastname: Pichlmeier
authors.forename: R
authors.initials: R
authors.lastname: Hipp
mesh_terms: D000293:Adolescent; D000768:Anesthesia, General; D002408:Catheters, Indwelling; D004359:Drug Therapy, Combination; D005260:Female; D006333:Heart Failure / Q000139:chemically induced* / Q000175:diagnosis; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006977:Hypertension, Renal / Q000188:drug therapy; D017379:Hypertrophy, Left Ventricular / Q000150:complications / Q000175:diagnosis; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000175:diagnosis; D007676:Kidney Failure, Chronic / Q000601:surgery; D011229:Preanesthetic Medication; D011433:Propranolol / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D011433:Propranolol
vernacular_title: Linksherzversagen in Narkose bei einem mit Propranolol vorbehandelten Kind--kasuistischer Beitrag.