Anesthetic management for a patient with mental retardation and unexamined complex congenital heart disease

An 18-year old female with mental retardation and unexamined complex congenital heart disease received dental care under general anesthesia. Anesthesia was induced and maintained successfully without any significant hemodynamic changes with inhalation of nitrous oxide, oxygen (FIO2 0.25-0.3) and sev...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 49; no. 10; p. 1145
Main Authors Iribe, G, Yoshimine, K, Takehara, A, Masuda, M, Omae, T, Kamihashi, M
Format Journal Article
LanguageJapanese
Published Japan 01.10.2000
Subjects
Abnormalities, Multiple
Adolescent
Anesthesia, Dental
Anesthesia, General
Conscious Sedation
Dental Care for Disabled
Female
Heart Defects, Congenital - complications
Humans
Intellectual Disability - complications
Preanesthetic Medication
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Summary:An 18-year old female with mental retardation and unexamined complex congenital heart disease received dental care under general anesthesia. Anesthesia was induced and maintained successfully without any significant hemodynamic changes with inhalation of nitrous oxide, oxygen (FIO2 0.25-0.3) and sevoflurane after a heavy premedication (morphine 10 mg, scopolamine 0.3 mg and midazolam 5 mg i.m.). After induction of anesthesia, cardiac anomaly was diagnosed by transesophageal echocardiography as TGA, VSD, PS, and operation was completed without any problem. Two points are considered important in this case; first, to appropriately estimate preoperative cardiac function and second, to adequately manage anesthesia to avoid any hemodynamic fluctuation.
ISSN:0021-4892