title: A case of severe perioperative hypoxia in uncorrected tetralogy of fallot: Anesthetic management.
abstract: Tetralogy of fallot (TOF) is one of the most common congenital heart disease (CHD) in children. With the development of pediatric surgery and intensive care units, increasing number of grown-up CHD patients are presenting for non-cardiac surgeries. Non-operated TOF patients suffer from chronic hypoxia and decreased pulmonary blood flow resulting in considerable alteration in the physiology. The optimal management of these patients, therefore, require a thorough understanding of the pathophysiology of the uncorrected TOF. We hereby report a case of successful management of a 10-year-old child with an uncorrected TOF posted for tibial external fixation device.
authors.affiliation: Department of Anaesthesiology and Critical Care, JNMCH, AMU, UP, India. Electronic address: drmanazirathar@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Athar
authors.affiliation: Department of Anaesthesiology and Critical Care, JNMCH, AMU, UP, India.
authors.forename: S
authors.initials: S
authors.lastname: Ali
authors.affiliation: Department of Anaesthesiology and Critical Care, JNMCH, AMU, UP, India.
authors.forename: S M
authors.initials: SM
authors.lastname: Ahmed
authors.affiliation: Department of Paediatrics, JNMCH, AMU, UP, India.
authors.forename: R
authors.initials: R
authors.lastname: Mazahir
mesh_terms: D000777:Anesthetics; D002648:Child; D006330:Heart Defects, Congenital; D006801:Humans; D000860:Hypoxia; D008168:Lung; D013771:Tetralogy of Fallot / Q000150:complications / Q000601:surgery*
chemical_list: D000777:Anesthetics
keywords: Anestesia; Anesthesia; Cardiopatía congénita; Cirugía no cardíaca; Congenital heart disease; Hipoxia perioperatoria; Noncardiac surgery; Perioperative hypoxia; Tetralogy of fallot; Tetralogía de Fallot