Anaesthetic management of a premature low-birth-weight neonate with congenital complete heart block for implantation of temporary epicardial pacing wires.
The optimal anaesthetic management of neonates with complete congenital heart block (CCHB) is unknown, as there is a low incidence of such cases. Neonates with CCHB often require surgery for the initiation of electronic pacing. In addition to the challenges of anaesthetising a neonate, this procedure is risky due to the potential for hypotension, arrhythmias and cardiac arrest. We herein present the case of a premature low-birth-weight neonate with antibody-related CCHB and normal heart structure who underwent anaesthesia and surgery for epicardial pacing wire insertion on Day 1 of life. We also compare our patient's anaesthetic conduct and outcome with similar previously reported cases.
Department of Anaesthesiology, Block 6, Level 2, Singapore General Hospital, Outram Road, Singapore 169608. oriana.ng@sgh.com.sg.
Oriana
O
Ng
Shahani Jagdish
SJ
Shahani
D000328:Adult; D000777:Anesthetics / Q000627:therapeutic use*; D001145:Arrhythmias, Cardiac / Q000517:prevention & control; D005260:Female; D006327:Heart Block / Q000151:congenital* / Q000628:therapy; D006439:Hemodynamics; D006801:Humans; D007022:Hypotension / Q000517:prevention & control; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D010138:Pacemaker, Artificial; D016896:Treatment Outcome
D000777:Anesthetics