Anaesthesia management for cleft lip in a child with unrepaired Tetralogy of Fallot in Malawi: a case report.

IF 1.2 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Malawi Medical Journal Pub Date : 2022-09-01 DOI:10.4314/mmj.v34i3.9

Furaha Nzanzu Blaise Pascal, Beauty Anusa, Stella Chikumbanje, Gregor Pollach

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引用次数: 1

Abstract

Background: Children with clefts lips often present with cardiac abnormalities, among them the tetralogy of Fallot. Anaesthesia for patients with unrepaired Tetralogy of Fallot coming for a non-cardiac surgery represents an additional risk of increased perioperative morbidity and mortality.

Case presentation: We present a case of a 8 years old boy with unrepaired Tetralogy of Fallot scheduled for cleft lip repair. The Child was referred to Mercy James Centre for Paediatric Surgery and Intensive Care from an Operation Smile Mission campaign. Anaesthesia consisted of a balanced general anaesthesia combined with regional anaesthesia by an infraorbital nerve block. The child developed hypercyanotic spells postoperatively which were successfully managed with noradrenaline, morphine, fluid, and oxygen therapy.

Conclusion: Children with unrepair Tetralogy of Fallot coming for non-cardiac surgery have increased risk of complications during anaesthesia. The anaesthesia provider should be aware and ready to manage them promptly.

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马拉维1例法洛四联症患儿唇裂未修复的麻醉处理:1例报告。

背景:唇裂儿童常表现为心脏异常，其中法洛四联症。未修复的法洛四联症患者接受非心脏手术时的麻醉增加了围手术期发病率和死亡率的风险。病例介绍:我们提出了一个8岁的男孩与未修复的法洛四联症预定的唇裂修复。这名儿童从一个“微笑行动”活动中被转介到Mercy James儿科外科和重症监护中心。麻醉包括平衡的全身麻醉和眶下神经阻滞的局部麻醉。术后患儿出现高紫绀，经去甲肾上腺素、吗啡、液体和氧气治疗成功。结论:未修复的法洛四联症患儿在非心脏手术麻醉期间出现并发症的风险增加。麻醉提供者应该意识到并准备好及时处理它们。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malawi Medical Journal Medicine-General Medicine

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders