JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (3)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mariano, E. R.
Right arrow Articles by Ramamoorthy, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mariano, E. R.
Right arrow Articles by Ramamoorthy, C.
Related Collections
Right arrow Cardiovascular
Right arrow Surgery
Right arrow Heart
Right arrow Pediatrics

Anesth Analg 2005;100:1631-1633
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000149899.03904.3F

PEDIATRIC ANESTHESIA

Anesthetic Management of Infants with Palliated Hypoplastic Left Heart Syndrome Undergoing Laparoscopic Nissen Fundoplication

Edward R. Mariano, MD, M. Gail Boltz, MD, Craig T. Albanese, MD, Claire T. Abrajano, RN, MSN, CPNP, and Chandra Ramamoorthy, MBBS

Department of Anesthesia, University of California at San Diego School of Medicine, San Diego, California; Department of Anesthesia, Department of Surgery, Division of Pediatric Surgery, Stanford University School of Medicine, Stanford, California

Address correspondence and reprint requests to Edward R. Mariano, MD, Department of Anesthesia, University of CA at San Diego Medical Center, 200 West Arbor Drive, San Diego, CA 92103–8770. Address e-mail to ermariano{at}ucsd.edu.

The safety of laparoscopic surgery in infants with single ventricle physiology has been a subject of controversy despite potential benefits over open surgery. We present the anesthetic management of five infants with palliated hypoplastic left heart syndrome that underwent laparoscopic Nissen fundoplication. After anesthetic induction and tracheal intubation, an intraarterial catheter was placed for hemodynamic monitoring. Insufflation pressure was limited to 12 mm Hg and was well tolerated by all patients. There were no intraoperative or postoperative complications. In patients with hypoplastic left heart syndrome, laparoscopic Nissen fundoplication can be safely performed with careful patient selection and close intraoperative monitoring.




This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
C. D. McClain, F. X. McGowan, and P. G. Kovatsis
Laparoscopic Surgery in a Patient with Fontan Physiology
Anesth. Analg., October 1, 2006; 103(4): 856 - 858.
[Abstract] [Full Text] [PDF]

Home page
 NeoReviewsHome page
S. Dutta and C. T. Albanese
Minimal Access Surgery in the Neonate
NeoReviews, August 1, 2006; 7(8): e400 - e409.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.