title: [Patient with tricuspid atresia undergoing orthopedic surgery: anesthetic considerations].
abstract: 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.
authors.affiliation: Departamento de Anestesiología, Hospital Universitario de Canarias, Tenerife.
authors.forename: A
authors.initials: A
authors.lastname: Vidal Marcos
authors.forename: I
authors.initials: I
authors.lastname: Porras Carrasco
authors.forename: E
authors.initials: E
authors.lastname: Espinosa Domínguez
authors.forename: J A
authors.initials: JA
authors.lastname: Reboso Morales
authors.forename: E
authors.initials: E
authors.lastname: Soriano Vela
authors.forename: F
authors.initials: F
authors.lastname: González Miranda
mesh_terms: 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
chemical_list: D018681:Anesthetics, General
vernacular_title: Paciente con atresia tricúspide para cirugía ortopédica: cuidados anestésicos.