Anaesthesia for cholecystectomy in two non-parturients with Eisenmenger's syndrome.
Eisenmenger's syndrome consists of high pulmonary vascular resistance with reversed or bidirectional shunt at aortopulmonary, ventricular or atrial level. We describe the anaesthetic management of two adult females with Eisenmenger's syndrome admitted for laparoscopic cholecystectomy. One patient suffered post-operative complications, but the other case was uncomplicated. We used sevoflurane and total intravenous anaesthesia to provide general anaesthesia. Both techniques were tolerated.
Kopka
A
A
Department of Anesthesia, Western Infirmary, Dumbarton Road, Glasgow, UK. a.kopka@doctors.org.uk
McMenemin
I M
IM
Serpell
M G
MG
Quasim
I
I
D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000627:therapeutic use*; D018686:Anesthetics, Intravenous / Q000627:therapeutic use*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D004452:Echocardiography / Q000379:methods; D004541:Eisenmenger Complex / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D005283:Fentanyl / Q000627:therapeutic use; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000379:methods; D007442:Intubation, Intratracheal / Q000379:methods; D007649:Ketamine / Q000627:therapeutic use; D008738:Methyl Ethers / Q000627:therapeutic use; D010880:Piperidines / Q000627:therapeutic use; D011183:Postoperative Complications / Q000628:therapy; D015742:Propofol / Q000627:therapeutic use; D000077208:Remifentanil; D000077149:Sevoflurane; D012769:Shock / Q000628:therapy
D000700:Analgesics; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D010880:Piperidines; D000077149:Sevoflurane; D007649:Ketamine; D000077208:Remifentanil; D005283:Fentanyl; D015742:Propofol