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

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

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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 - Jan 1 2000

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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.