Anesthetic management for a patient with mental retardation and unexamined complex congenital heart disease

Gentaro Iribe, K. Yoshimine, A. Takehara, M. Masuda, T. Omae, M. Kamihashi

Research output: Contribution to journalArticle

Abstract

An 18-year old female with mental retardation and unexamined complex congenital heart disease received dental care under general anesthesia. Anesthesia was induced and maintained successfully without any significant hemodynamic changes with inhalation of nitrous oxide, oxygen (FIO2 0.25-0.3) and sevoflurane after a heavy premedication (morphine 10 mg, scopolamine 0.3 mg and midazolam 5 mg i.m.). After induction of anesthesia, cardiac anomaly was diagnosed by transesophageal echocardiography as TGA, VSD, PS, and operation was completed without any problem. Two points are considered important in this case; first, to appropriately estimate preoperative cardiac function and second, to adequately manage anesthesia to avoid any hemodynamic fluctuation.

Original languageEnglish
Pages (from-to)1145-1147
Number of pages3
JournalJapanese Journal of Anesthesiology
Volume49
Issue number10
Publication statusPublished - 2000
Externally publishedYes

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Intellectual Disability
Anesthetics
Heart Diseases
Anesthesia
Hemodynamics
Scopolamine Hydrobromide
Dental Care
Premedication
Midazolam
Transesophageal Echocardiography
Nitrous Oxide
General Anesthesia
Morphine
Inhalation
Oxygen
sevoflurane

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Iribe, G., Yoshimine, K., Takehara, A., Masuda, M., Omae, T., & Kamihashi, M. (2000). Anesthetic management for a patient with mental retardation and unexamined complex congenital heart disease. Japanese Journal of Anesthesiology, 49(10), 1145-1147.

Anesthetic management for a patient with mental retardation and unexamined complex congenital heart disease. / Iribe, Gentaro; Yoshimine, K.; Takehara, A.; Masuda, M.; Omae, T.; Kamihashi, M.

In: Japanese Journal of Anesthesiology, Vol. 49, No. 10, 2000, p. 1145-1147.

Research output: Contribution to journalArticle

Iribe, G, Yoshimine, K, Takehara, A, Masuda, M, Omae, T & Kamihashi, M 2000, 'Anesthetic management for a patient with mental retardation and unexamined complex congenital heart disease', Japanese Journal of Anesthesiology, vol. 49, no. 10, pp. 1145-1147.
Iribe, Gentaro ; Yoshimine, K. ; Takehara, A. ; Masuda, M. ; Omae, T. ; Kamihashi, M. / Anesthetic management for a patient with mental retardation and unexamined complex congenital heart disease. In: Japanese Journal of Anesthesiology. 2000 ; Vol. 49, No. 10. pp. 1145-1147.
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