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

Gentaro Iribe, Kowa Yoshimine, Akihiko Takehara, Mina Masuda, Takeshi Omae, Mutsumi 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 (Floa 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
Number of pages1
JournalJapanese Journal of Antibiotics
Volume49
Issue number10
Publication statusPublished - Dec 1 1996

ASJC Scopus subject areas

  • Microbiology (medical)
  • Pharmacology (medical)
  • Infectious Diseases

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    Iribe, G., Yoshimine, K., Takehara, A., Masuda, M., Omae, T., & Kamihashi, M. (1996). Anesthetic management for a patient with mental retardation and unexamined complex congenital heart disease. Japanese Journal of Antibiotics, 49(10).