Anaesthetic management of ventricular septal defect closure under cardiopulmonary bypass in a child with recently diagnosed hepatitis A.

Sathyanarayan J; Praveenkumar BA; Shio Priye; Bhaskar BV; Durgaprasad Reddy

Makale detayları

Anaesthetic management of ventricular septal defect closure under cardiopulmonary bypass in a child with recently diagnosed hepatitis A.

Yazarlar:

Sathyanarayan J | Praveenkumar BA | Shio Priye | Bhaskar BV | Durgaprasad Reddy

Yayıncı:

Bilal YILDIZ

Dergi:

Journal of Pediatric Sciences 2013 Vol.5 Issue 0

Belge Tipi:

Makale

Yayın Tarihi:

6/2013

Belge Dili:

İngilizce

Document ID (Org No.):

2000743441

Sıklık:

İki Yıllık

eISSN:

1309-1247

Özet:

 

Hepatitis A is highly contagious and is spread largely by the fecal-oral route, more commonly in areas of overcrowding and poor sanitation. Infection is common in children but often asymptomatic. Acute liver failure complicates acute hepatitis A in only 0.1% of cases and chronic infection does not occur. A 2-yr-old female baby was operated for Ventricular Septal Defect (VSD) closure under cardiopulmonary bypass. She was diagnosed to have acute hepatitis A while preoperative evaluation and was decided to operate once the acute phase resolves as indicated by liver enzymes touching baseline. General anesthesia was induced with morphine, atracurium and maintained with morphine, propofol and atracurium. No complications were encountered during perioperative period. We concluded that following acute hepatitis, surgery can be done on cardiopulmonary bypass as early as the acute phase resolves using anesthetic agents that are least hepatotoxic and metabolism of which is less affected by liver disease. Additionally insult from cardiopulmonary bypass can be minimized by reducing bypass time, non pulsatile flows and normothermia. By close follow-up of patients clinically and biochemically, it is possible to reduce the complication rates to a minimum.
Key words: Hepatitis A, general anaesthesia, cardiopulmonary bypass, ventricular septal defect.

Makale detayları

Anaesthetic management of ventricular septal defect closure under cardiopulmonary bypass in a child with recently diagnosed hepatitis A.

Yazarlar: Sathyanarayan J | Praveenkumar BA | Shio Priye | Bhaskar BV | Durgaprasad Reddy

Yayıncı: Bilal YILDIZ

Dergi: Journal of Pediatric Sciences 2013 Vol.5 Issue 0

Belge Tipi: Makale

Yayın Tarihi: 6/2013

Belge Dili: İngilizce

Document ID (Org No.): 2000743441

Sıklık: İki Yıllık

eISSN: 1309-1247

Sayı

Yazarlar:

Sathyanarayan J | Praveenkumar BA | Shio Priye | Bhaskar BV | Durgaprasad Reddy

Yayıncı:

Bilal YILDIZ

Dergi:

Journal of Pediatric Sciences 2013 Vol.5 Issue 0

Belge Tipi:

Makale

Yayın Tarihi:

6/2013

Belge Dili:

İngilizce

Document ID (Org No.):

2000743441

Sıklık:

İki Yıllık

eISSN:

1309-1247