Abstract
A five-year-old boy with recurring tonsillitis and sleep apnea was admitted for tonsillectomy and tympanic membrane tubing. He presented with a history of bronchial asthma and hereditary spherocytosis without obvious cardiac failure symptoms. Anesthetic agents for induction included nitrous oxide, oxygen, and sevoflurane. Because oxygen saturation decreased immediately to 90%, tracheal intubation was performed. The patient began to wheeze. Sevoflurane concentration was increased but cardiac murmur (gallop), cold limbs and jugular vein distension were noted. Acute cardiac failure was diagnosed following a chest X-ray and cardiac echo showing an enlarged heart, CTR of 80%, left ventricular dilation, and contractile failure. Tympanic membrane tubing only was performed. Sevoflurane was discontinued and the patient was treated for the cardiac failure under an ICU oxygen tent. The patient was discharged when his general condition improved. He showed elevated levels of viral antibodies, suggesting myocarditis. Later he was treated for dilating cardiomyopathy before undergoing a heart transplant.
| Original language | English |
|---|---|
| Pages (from-to) | 1181-1182 |
| Number of pages | 2 |
| Journal | Japanese Journal of Anesthesiology |
| Volume | 55 |
| Issue number | 9 |
| Publication status | Published - 2006 |
| Externally published | Yes |
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Keywords
- Cardiac failure
- Dilating cardiomyopathy
- Sevoflurane
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Cardiac failure in a child during anesthetic induction with sevoflurane. / Oto, Hirotaka; Nakamura, Tadaho; Nakamura, Kyouichi; Tani, Makiko; Kobayashi, Osamu; Takahashi, Yukio.
In: Japanese Journal of Anesthesiology, Vol. 55, No. 9, 2006, p. 1181-1182.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cardiac failure in a child during anesthetic induction with sevoflurane
AU - Oto, Hirotaka
AU - Nakamura, Tadaho
AU - Nakamura, Kyouichi
AU - Tani, Makiko
AU - Kobayashi, Osamu
AU - Takahashi, Yukio
PY - 2006
Y1 - 2006
N2 - A five-year-old boy with recurring tonsillitis and sleep apnea was admitted for tonsillectomy and tympanic membrane tubing. He presented with a history of bronchial asthma and hereditary spherocytosis without obvious cardiac failure symptoms. Anesthetic agents for induction included nitrous oxide, oxygen, and sevoflurane. Because oxygen saturation decreased immediately to 90%, tracheal intubation was performed. The patient began to wheeze. Sevoflurane concentration was increased but cardiac murmur (gallop), cold limbs and jugular vein distension were noted. Acute cardiac failure was diagnosed following a chest X-ray and cardiac echo showing an enlarged heart, CTR of 80%, left ventricular dilation, and contractile failure. Tympanic membrane tubing only was performed. Sevoflurane was discontinued and the patient was treated for the cardiac failure under an ICU oxygen tent. The patient was discharged when his general condition improved. He showed elevated levels of viral antibodies, suggesting myocarditis. Later he was treated for dilating cardiomyopathy before undergoing a heart transplant.
AB - A five-year-old boy with recurring tonsillitis and sleep apnea was admitted for tonsillectomy and tympanic membrane tubing. He presented with a history of bronchial asthma and hereditary spherocytosis without obvious cardiac failure symptoms. Anesthetic agents for induction included nitrous oxide, oxygen, and sevoflurane. Because oxygen saturation decreased immediately to 90%, tracheal intubation was performed. The patient began to wheeze. Sevoflurane concentration was increased but cardiac murmur (gallop), cold limbs and jugular vein distension were noted. Acute cardiac failure was diagnosed following a chest X-ray and cardiac echo showing an enlarged heart, CTR of 80%, left ventricular dilation, and contractile failure. Tympanic membrane tubing only was performed. Sevoflurane was discontinued and the patient was treated for the cardiac failure under an ICU oxygen tent. The patient was discharged when his general condition improved. He showed elevated levels of viral antibodies, suggesting myocarditis. Later he was treated for dilating cardiomyopathy before undergoing a heart transplant.
KW - Cardiac failure
KW - Dilating cardiomyopathy
KW - Sevoflurane
UR - http://www.scopus.com/inward/record.url?scp=33748925246&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33748925246&partnerID=8YFLogxK
M3 - Article
C2 - 16984022
AN - SCOPUS:33748925246
VL - 55
SP - 1181
EP - 1182
JO - Japanese Journal of Anesthesiology
JF - Japanese Journal of Anesthesiology
SN - 0021-4892
IS - 9
ER -