title: Anesthetic management of a child with nephrotic syndrome undergoing open heart surgery: report of a rare case.
abstract: The congenital nephrotic syndrome (NS) in infancy and childhood is an important entity but combination with acyanotic congenital heart disease is uncommon. Anesthesia in such cases is challenging because of associated problems like hypo-protienemia, anti-thrombin III deficiency, edema, hyperlipidemia, coagulopathy, cardiomyopathy, immunodeficiency, increased lung water etc. We describe anesthetic management of a patient with childhood NS and sinus venosus atrial septal defect (ASD) undergoing open heart surgery. We also suggest guidelines for safe conduct of anesthesia and CPB in such patients.
authors.affiliation: Department of Anaesthesiology, Intensive Care and Cardiothoracic and Vascular Surgery, G.B. Pant Hospital, New Delhi, India. dattvishnu@yahoo.com
authors.forename: Vishnu
authors.initials: V
authors.lastname: Datt
authors.forename: Deepak K
authors.initials: DK
authors.lastname: Tempe
authors.forename: Kapil
authors.initials: K
authors.lastname: Arora
authors.forename: Sanjula
authors.initials: S
authors.lastname: Virmani
authors.forename: Chander S
authors.initials: CS
authors.lastname: Joshi
authors.forename: Saket
authors.initials: S
authors.lastname: Agarwal
mesh_terms: D000758:Anesthesia / Q000379:methods; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D002648:Child; D004562:Electrocardiography; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008297:Male; D009404:Nephrotic Syndrome / Q000503:physiopathology*