Plateau tetralogy of Fallot Treatment of anesthesia.docVIP

 PAGE \* MERGEFORMAT 10 Plateau tetralogy of Fallot Treatment of anesthesia Of: Choi Chi, Li Suzhi, Chen Pu Wang, Chen Qiang [Keywords:] Highland anesthesia Tetralogy of Fallot 3700 m above sea level in our hospital is located in the plateau. The first time since November 2000 beating of two cases of open heart surgery in children has been the successful implementation of anesthesia, our hospital had 50 cases of successful implementation of tetralogy of Fallot ( TOF heart surgery without anesthesia and 1 patient achieved satisfactory results. TOF is a common cyanotic congenital heart disease, the incidence of congenital heart disease in neonates accounted for 10% in cyanotic congenital heart disease accounted for 30% in 1 year of age after the cyanotic congenital heart disease accounted for 75% [1]. on the plateau tetralogy of Fallot few reports of surgical anesthesia, it is now summarized as follows anesthetic experience. 1 Clinical data 1.1 General Information The group of 50 patients were from 2000 to 2009, by color Doppler echocardiography, angiocardiography diagnosed patients, 29 males, 21 women, aged 4 years to 16 years old, weighing 12.8 ~ 32.2kg. One World Tibetans living in Tibet in 41 cases, 9 cases of immigrant Han. preoperative Hb128 ~ 248g / L, mean (144.6 +-13.30g / L, blood viscosity: (50.47 +-6.26mPa.s, pulse oxygen saturation ( SPO268% ~ 85%, grade ~ heart function, all patients had varying degrees of clubbed fingers (toes, paroxysmal dyspnea, cyanosis, squatting phenomenon, no surgical contraindications routine examination. 1.2 Anesthesia Routine preoperative fasting 6 h, forbidden to drink 4 h. stable 0.2 mg / kg, 0.01mg/kg scopolamine injected intramuscularly 30 min before surgery, ketamine 4mg/kg, scopolamine 0.01 mg / kg for basal anesthesia. Sleep quickly push operating room as soon as possible to establish intravenous access, ECG monitoring, oxygen to nitrogen. Anesthesia was induced with midazolam 0.3 mg / kg,