[Patient with tricuspid atresia undergoing orthopedic surgery: anesthetic considerations].
We describe a 52-year-old patient with rheumatoid arthritis, interventricular communication and pulmonary stenosis. After an accidental fall she was scheduled for total hip replacement. The main objective of anesthetic management was to preserve pulmonary blood circulation at arterial pressures that would assure adequate tissue perfusion. Other objectives were to maintain hydration to prevent decreases in hematocrit levels, avoid systemic embolization and allow for antibiotic prophylaxis.
Vidal Marcos
A
A
Departamento de Anestesiología, Hospital Universitario de Canarias, Tenerife.
Porras Carrasco
I
I
Espinosa Domínguez
E
E
Reboso Morales
J A
JA
Soriano Vela
E
E
González Miranda
F
F
D000058:Accidental Falls; D000769:Anesthesia, Inhalation / Q000379:methods*; D000771:Anesthesia, Intravenous / Q000379:methods; D018681:Anesthetics, General / Q000494:pharmacology; D001172:Arthritis, Rheumatoid / Q000150:complications; D001810:Blood Volume; D004198:Disease Susceptibility; D005260:Female; D005270:Femur Head / Q000293:injuries*; D006620:Hip Fractures / Q000150:complications / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011652:Pulmonary Circulation / Q000187:drug effects*; D011666:Pulmonary Valve Stenosis / Q000150:complications; D013923:Thromboembolism / Q000517:prevention & control; D018785:Tricuspid Atresia / Q000150:complications
D018681:Anesthetics, General
Paciente con atresia tricúspide para cirugía ortopédica: cuidados anestésicos.