Anesthesia Management For Brain Abcess And Hidrocephalus In Children During External Ventrikel Drainage With Tetralogy Of Fallot
DOI:
https://doi.org/10.59188/eduvest.v4i12.3776Keywords:
Anesthesia, Brain Abscess, External Ventrikel Drainage, Tetralogy Of FallotAbstract
Background: Congenital heart defects occur due to abnormal changes in the structure of the heart that occur early in pregnancy and are present at birth. This defect is the most common congenital anomaly, occurring in approximately 1 in 125 births. Tetralogy of Fallot (TOF) is a defect in which there is an obstruction of blood flow from the heart to the lungs, resulting in low blood oxygen levels. Brain abscess is a rare, fatal complication, accounting for 5%–18.7% of the population with cyanotic congenital heart disease. This condition is often accompanied by headache, fever, seizures, altered mental status, focal neurologic deficits, nausea, and vomiting. Case: A 10 year old girl with brain abcess and hydrocephalus who will undergo external ventrikel drainage with tetralogy of fallot. Disscussion: The Anaesthetic goals for a case of uncorrected Tetralogy of Fallot posted for a non-cardiac surgery are to avoid hypoxemia, ensure adequate hydration, maintain systemic arterial blood pressure (SVR), minimise additional resistance to pulmonary blood flow (pulmonary vascular resistance) and avoiding sudden increase in systemic oxygen demand (cry, inadequate depth of an aesthesia, seizure, pain, etc). Conclution: Anesthesia management of children with TOF presenting for non-cardiac surgery requires a thorough understanding of the pathophysiology of this condition and the altered haemodynamics.
References
Abuzaid, A., Abd Elaal, I., Abdulaziz, A., & Abuzaid, R. (2020). Anesthetic management in tetralogy of fallot with pulmonary atresia and major aortopulmonary collateral arteries in pediatric patients: One year experience. Saudi Journal of Anaesthesia, 14(2), 177–181.
Al-Jarshawi, M. H. A., Jabbar, A. H., Albadree, H., Al Alwany, A. A. H. M., Madlul, Y. A., Shaker, H. H., & Abdulwahid, A. T. (2023). Epidemiology of Congenital Heart Diseases. In Clinical and Surgical Aspects of Congenital Heart Diseases: Text and Study Guide (pp. 9–13). Springer.
Ayesha, K. (2022). Anesthetic management for drainage of cerebral abscess in a child with uncorrected Tetralogy of Fallot. Anaesthesia, Pain & Intensive Care, 26(6), 824–827.
Coffey, S., Roberts-Thomson, R., Brown, A., Carapetis, J., Chen, M., Enriquez-Sarano, M., Zühlke, L., & Prendergast, B. D. (2021). Global epidemiology of valvular heart disease. Nature Reviews Cardiology, 18(12), 853–864.
Dwivedi, P., Kumar, S., Ahmad, S., & Sharma, S. (2020). Uncorrected tetralogy of Fallot’s: anesthetic challenges. Anesthesia Essays and Researches, 14(2), 349–351.
Fleisher LA, & Beckam JA. (2011). Anasthesia and Noncardiac Surgery in Patients with Heart Disease. In Zipes DP, Libby P, Bonow RO, Mann DL, & Tomaselli GF (Eds.), Braunwald’s Heart Disease (11th ed., pp. 102–103). McGraw-Hill Medical.
Kamabu, L. K., Sikakulya, F. K., Kataka, L. M., Vivalya, B. N. M., Lekuya, H. M., Obiga, D. O. D., Sekabunga, J. N., & Bbosa, G. S. (2024). Tetralogy of Fallot complicated by multiple cerebral abscesses in a child: a case report. Journal of Medical Case Reports, 18(1), 183.
Lertkovit, S., & Nivatpumin, P. (2021). Tet spells in a parturient woman with uncorrected tetralogy of fallot undergoing cesarean delivery. Journal of Health Science and Medical Research, 39(6), 509–515.
Migo, W. A. A. (2023). Anesthesia in patients with congenital heart defects. University of Zagreb. School of Medicine.
Mohammad, A. (2023). Teratology of Fallot (TOF). In Clinical and Surgical Aspects of Congenital Heart Diseases: Text and Study Guide (pp. 69–85). Springer.
Narayan, V., Jaswal, S., Narayanan, V., Sethuraman, R. M., & Mahajan, S. (2023). Anesthetic management of brain abscess with cyanotic congenital heart disease: Two case reports. Journal of Pediatric Neurosciences, 10–4103.
Nwigwe, N. C., Adenekan, A. T., Faponle, A. F., Omon, H. E., Balogun, S. A., Anele, C. O., & Komolafe, E. O. (2022). Anaesthetic management for brain surgery in a child with uncorrected Tetralogy of Fallot in a resource‑limited setting. Nigerian Journal of Medicine, 31(3), 343–346.
Perkowski, S. Z., & Oyama, M. A. (2024). Pathophysiology and anesthetic management of patients with cardiovascular disease. Veterinary Anesthesia and Analgesia: The Sixth Edition of Lumb and Jones, 680–696.
Quinlan, C. A., Latham, G. J., Joffe, D., & Ross, F. J. (2021). Perioperative and anesthetic considerations in tetralogy of Fallot with pulmonary atresia. Seminars in Cardiothoracic and Vascular Anesthesia, 25(3), 218–228.
Schmitz, M. L., Chau, D. F., Das, R. R., Thompson, L. L., & Ullah, S. (2023). Anesthesia for Right‐Sided Obstructive Lesions. Anesthesia for Congenital Heart Disease, 674–709.
Sengottian, M. P., Ajanth, S., Baliarsing, L. A., & Deshpande, C. (2023). Anesthetic management of adult patients with tetralogy of Fallot: a case series. Anaesthesia, Pain & Intensive Care, 27(3), 429–433.
Verma, N., Madavi, S., Jadhav, J. A., Dash, S., & Chandak, A. (2023). Anesthetic Challenges in an Infant With Tetralogy of Fallot Posted for Non-cardiac Surgery: A Case Report and Literature Review. Cureus, 15(10).
Vo, C. H., Bushman, G. A., Kleiman, Z. I., Quiñónez, Z. A., Kleiman, Z. I., & Quiñónez, Z. A. (2023). Tetralogy of Fallot. In Congenital Heart Disease in Pediatric and Adult Patients: Anesthetic and Perioperative Management (pp. 437–468). Springer.
Zipes, D., Libby, P., & Bonow, R. (2019). Braunwald’s Heart Disease (8th ed.). Elsevier.
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