Anesthetic management of hepatectomy for the patient with Fontan circulation: a case series.
JA Clin Rep
; 8(1): 94, 2022 Dec 09.
Article
en En
| MEDLINE
| ID: mdl-36484931
ABSTRACT
BACKGROUND:
Hepatectomy for patients with Fontan circulation consists of high central venous pressure and low pulmonary vascular resistance, and is challenging for physicians. CASE PRESENTATION We performed anesthetic management for hepatectomy in three patients with Fontan circulation. Massive bleeding and transfusion as well as careful management were needed. Open abdominal surgery had to be conducted instead of laparoscopic surgery for controlling bleeding in one case. We successfully performed general anesthesia using nitric oxide and inotropes while monitoring arterial pressure and central venous pressure in all the cases.CONCLUSIONS:
To maintain Fontan circulation during hepatectomy, it is important to manage central venous pressure and ensure appropriate circulatory volume.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
JA Clin Rep
Año:
2022
Tipo del documento:
Article
País de afiliación:
Japón