• A&A practice · Jan 2022

    Case Reports

    Neurosurgical Emergency in an Adult With Single Ventricle Physiology: A Case Report.

    • Aparna Depuru, Michelle Shirin Lazar, Naveen B Naik, Venkata Ganesh, Ajay Singh, and Deepkanth Gorla.
    • Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
    • A A Pract. 2022 Jan 18; 16 (1): e01558e01558.

    AbstractThe anesthetic management of a patient with uncorrected congenital heart disease presenting for noncardiac surgery is quite challenging. When this becomes a neurosurgical emergency, the need to balance cerebral and complex circulatory physiologies tests the anesthesiologist's preparedness. The principal clinical challenges we faced were preventing increases in intracranial pressure while maintaining the circulatory physiology using the "cardiac grid" approach to hemodynamic management in a case of acyanotic double outlet right ventricle with a posterior fossa space-occupying lesion. Point of care preoperative echocardiography enabled us to understand the altered circulatory physiology and successfully manage this patient.Copyright © 2022 International Anesthesia Research Society.

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