Anaesthetic management in neurosurgery in a patient with Eisenmenger syndrome and Down syndrome. A case report. / Manejo anestésico en neurocirugía de paciente con síndrome de Eisenmenger y síndrome de Down. Reporte de un caso.
Rev Esp Anestesiol Reanim (Engl Ed)
; 2021 Sep 23.
Article
em En, Es
| MEDLINE
| ID: mdl-34565573
ABSTRACT
Adults patients with congenital heart disease increasingly present for non cardiac surgery. The anesthetic management this type of patients in neurosurgery requires a meticulous surgical anesthetic planning. The need for urgent intervention, with the presence of a congenital heart disease evolved to Eisenmenger Syndrome, associated to a difficult airway, is a challenge for the anesthesiologist. The use of dexmedetomidine may be a valid alternative. We present the case of a patient with Down syndrome, and Eisenmenger syndrome who underwent drainage of brain abscess from the emergency department and was subsequently scheduled for reintervention. We compare the different anesthetic techniques used in both procedures, analyzing the implications they had on the main physiopathological alterations presented by the patient.
Analgesia; Anestesia; Anestesia general; Anestesia intravenosa; Anesthesia; Anesthesia general; Anesthesia intravenous; Cuidados intraoperatorios; Cuidados perioperatorios; Dexmedetomidina; Dexmedetomidine; Dolor; Down syndrome; Eisenmenger Complex; Emergencias; Emergency; Intraoperative care; Neurocirugía; Neurosurgery; Pain; Perioperative care; Síndrome de Down; Síndrome de Eisenmenger
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
/
Es
Revista:
Rev Esp Anestesiol Reanim (Engl Ed)
Ano de publicação:
2021
Tipo de documento:
Article
País de publicação:
ES
/
ESPANHA
/
ESPAÑA
/
SPAIN