CASE REPORT
Year : 2018  |  Volume : 12  |  Issue : 4  |  Page : 629-633

A case series of different anesthesia approaches for single ventricular physiology patients in various stages of palliation underwent noncardiac procedures


1 Department of Pediatric Anesthesia, King Abdullah Specialized Children's Hospital, Riyadh, Saudi Arabia
2 Department of Perioperative Medicine, Anesthesia Institute at Cleveland Clinic, Abu Dhabi, United Arab Emirates
3 Department of Anesthesia, King Abdulaziz Medical City, Riyadh, Saudi Arabia
4 Department of Anesthesia, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Correspondence Address:
Dr. Ahmed Haroun Mahmoud
King Abdullah Specialized Children Hospital, King Abdulaziz Medical City, National Guard Health Affairs, P. O Box 22490, Riyadh 11426 MC 1938
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_36_18

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Patients with single ventricle physiology (SVP) are a particularly challenging population with congenital heart disease (CHD); they will go for staged, palliation ending in the Fontan circulation. Nowadays, with improvement in surgical procedures for CHD, these patients become growing population, and noncardiac surgeries become not uncommon. The authors report different anesthesia approaches for four pediatric patients with SVP underwent ten noncardiac procedures done under general anesthesia following the different stages of palliation at King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia, between 2009 and 2015 and do a brief review of the literature on this topic. The aim of this study is to highlight that anesthesia approach for patients with SVP varies according to the patient physical situation at the time of the procedure, stage of palliation, and type of surgery. Therefore, every anesthesiologist should have thorough knowledge about SVP, different stages of palliative surgery, anesthesia concern in each one and risk factors associated with perioperative morbidity before anesthetizing patients for a noncardiac procedure to keep patient safety as well as avoiding unnecessary cancellation, rescheduling, and admissions to the ward or the Intensive Care Unit.


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