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The anesthesia management of interventional surgery in children with congenital heart diseases

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Author:
LIN Duo-mao(Department of the Anesthesiology, Beijing Anzhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China)
LIU Xiao-ming(Department of the Anesthesiology, Beijing Anzhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China)
LI Shu-wen(Department of the Anesthesiology, Beijing Anzhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China)
LU Jia-kai(Department of the Anesthesiology, Beijing Anzhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China)
QING En-ming(Department of the Anesthesiology, Beijing Anzhen Hospital of the Capital University of Medical Sciences, Beijing 100029, China)
Journal Title:
CHINA MEDICINE
Issue:
Volume 05, Issue 07, 2010
DOI:
10.3760/cma.j.issn.1673-4777.2010.07.003
Key Word:
Heart defects, congenital;Intervenfonal surgery;Anesthesia/Children

Abstract: Objective To investigate the anesthesia methods for interventional surgery in children with congenital heart diseases. Methods From 1988 to 2009,1192 patients with congenital heart diseases were treated with interventional surgery. In these procedures, monitored electrocardiogram(ECG), respiratory rate (RR), mean artery pressure (MAP) and percutaneous oxygen saturation ( SpO2 ). Ketamine of 3 ~ 4 mg/kg was used via muscle injection. Results Anesthesia was done successfully in all 1192 cases. The operation duration was (124 ± 82)min and the total dose of Ketamine was ( 3.62 ± 1.18 ) mg/( kg · h). There were no anesthesia related complications.Conclusion Sufficient preoperative preparation, proper application of anesthetic drug and vital signs monitoring are critical for interventional surgery.

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