Penatalaksanaan Anestesi Pada Total Anomalous Pulmonary Venous Drainage

Kasus: Anak laki-laki 12 tahun dengan keluhan cepat lelah dan berat badan sulit naik.Ekokardiografi menunjukkan adanya TAPVD supracardiac (ke V.inominata), ASDbesar (pirau kanan ke kiri), TR mild dan PH moderate. Prinsip manajemen anestesidengan mengurangi aliran darah ke paru melalui kontrol ventilasi dan pertimbangkanekstubasi cepat setelah repair. Monitoring dengan CVP, LA pressure dan PA pressuresangat membantu. Hipertensi pulmonal perioperatif ditangani dengan hiperventilasi,oksigen 100%, alkalinisasi, sedasi dalam dan pelumpuh otot.
Article Metrics:
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Last update: 2021-03-02 15:13:45
Last update: 2021-03-02 15:13:51
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