Anaesthetic management in a neonate with congenital complete

Paediatric anaesthesia · Feb 2004

Case Reports

Anaesthetic management in a neonate with congenital complete heart block.

We present the case of a neonate undergoing surgery on the first day of life for the installation of a permanent pacemaker because of the existence of congenital complete heart block (CCHB) with a basal heart rate of 43 b.min(-1) and minimal elevation after initiating an isoproterenol perfusion. The intervention was under general anaesthesia with laryngeal mask airway (LMA) and spontaneous ventilation. The principal anaesthetic goals were to assure adequate anaesthesia, with haemodynamic and respiratory stability, to maintain the best possible heart rate and to avoid postoperative respiratory depression or apnoea.

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- Mariano Castilla, Marta Jerez, Manuel Llácer, and Sandra Martinez.
- Paediatric Anaesthesia, Children's Hospital Carlos Haya, Málaga, Spain. mcastillamoreno@hotmail.com
- Paediatr Anaesth. 2004 Feb 1; 14 (2): 172-5.
AbstractWe present the case of a neonate undergoing surgery on the first day of life for the installation of a permanent pacemaker because of the existence of congenital complete heart block (CCHB) with a basal heart rate of 43 b.min(-1) and minimal elevation after initiating an isoproterenol perfusion. The intervention was under general anaesthesia with laryngeal mask airway (LMA) and spontaneous ventilation. The principal anaesthetic goals were to assure adequate anaesthesia, with haemodynamic and respiratory stability, to maintain the best possible heart rate and to avoid postoperative respiratory depression or apnoea.

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Anaesthetic management in a neonate with congenital complete heart block.

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