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- W2361508077 abstract "Objective To retrospectively analyze the anesthesia management for bidirectional Glenn shunt in children with complex cyanotic congenital heart disease. Methods Twenty-four children,aged from 4 months to 14 years,weighing 6-30 kg,were treated with bidirectional Glenn shunt between January 2007 and December 2009.Anesthesia was induced with fentanyl 5-10 μg/kg,vecuronium 0.1-0.15 mg/kg and ketamine 0.1 mg/kg,and maintained by fentanyl 15 μg/kg and vecuronium 0.1 mg/kg.Dual-chamber venous ducts were inserted in the right jugular vein and right femoral vein to measure the central venous pressure(CVP).The left radial artery was punctured for testing blood pressure.Dopamine 3-8 μg·kg-1·min-1,nitroglycerin 0.1-0.5 μg·kg-1·min-1 or adrenaline 0.02-0.05 μg·kg-1·min-1 were used according to the heart rate and blood pressure when the operation began.The acidosis was corrected in time,and synthetic colloids and fresh frozen plasma were added when needed. Results Arterial oxygen saturation(SaO2) significantly increased from(69±11)% preoperatively to(88±6)% postoperatively(P0.01).Pulmonary artery pressure increased from(13.9±4.3) mmHg(1 mmHg=0.133 kPa) preoperatively to(16.8±4.5) mmHg postoperatively,but with no statistically significant difference(P0.05).Postoperative CVP was significantly higher than preoperative one([19.3±3.6] cmH2O vs.[6.4±2.3] cmH2O,1 cmH2O=0.098 kPa,P0.01).There was no complication or death. Conclusion Appropriate anesthesia and the stable circulation are important for the success of bidirectional Glenn shunt in children." @default.
- W2361508077 created "2016-06-24" @default.
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- W2361508077 date "2012-01-01" @default.
- W2361508077 modified "2023-09-26" @default.
- W2361508077 title "Anesthesia management of bidirectional Glenn shunt in children with complex cyanotic congenital heart disease" @default.
- W2361508077 hasPublicationYear "2012" @default.
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