Journal of Anesthesia & Pain Medicine(JAPM)
ISSN: 2474-9206 | DOI: 10.33140/JAPM
Impact Factor: 1.8*
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Spinal Anesthesia for Urologic Surgery in an Infant with Hemi-Fontan Physiology: A Case Report
Abstract
Gabrielle Musci, Ashlee E Holman and Kathleen M Gibbons
Hypoplastic left heart syndrome is a congenital heart defect characterized by hypoplasia of left-sided heart structures and a single functional right ventricle. The resultant physiology poses significant challenges for the anesthesiologist when general anesthesia is necessary for these children. This case report describes an infant with hemi-Fontan physiology undergoing circumcision in which awake spinal anesthesia was used with favorable hemodynamic, respiratory, and surgical conditions. Written consent for publication was obtained from the patient’s parents.