ANESTHETIC MANAGEMENT AND INTENSIVE CARE FOR ARTERIAL SWITCH IN TRANSPOSITION OF VESSEL (TGV)

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PANAHIPOUR A.A.; YOUSEFNIA M.A.; HEYDARPOUR AVAZ; MIRZA AGHAYAN M.R.; HADAVAND MIRZAEI M.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2003 | Volume:22 | Issue:40 Page(s): 51-58

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Title

ANESTHETIC MANAGEMENT AND INTENSIVE CARE FOR ARTERIAL SWITCH IN TRANSPOSITION OF VESSEL (TGV)

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Keywords

TGVQ4

ARTERIAL SWITCHQ4

ATRIAL SWITCHQ4

PLATELETQ3

DOPAMINEQ3

Abstract

There exits quite a large variety of congenital heart disease (CHD), that include abnormality of building and function of heart at birth. The generally accepted rate of incidence of congenital cardiac malformation in the human species is roughly 5-7 per one thousand live births.In transposition of the great arteries, the aorta arises from the right ventricle and the pulmonary artery from the left ventricle. Mixing of blood between the two sided of the heart via PDA, ASD or VSD is essential for survival. Two kinds of surgical operation has been done for correction as name switch, ATRIAL SWITCH or ARTERIAL SWITCH. The most advantage of ARTERIAL SWITCH is heart anatomy protection. After the ARTERIAL SWITCH operation, the right and left ventricles are correctly restored to the pulmonary and systemic circuit, respectively. A preferred and successful ARTERIAL SWITCH operation can be performed during 2 weeks after birthday.In this study, during 5 years we had 17 ARTERIAL SWITCHes from 2468 congenital heart diseases. The procedure of the anesthesia was the same for all patients. All patients had VSD, 7 cases need to intrope for separation of CPB and the main drug was DOPAMINE, for two cases dobutamin and adrenalin had been used. Four patients operated during 2 early weeks of live and 13 cases were oprated in infancy. The intubations time for neonates were 6.5 days and for older infancy was 2.78 days. The ICU staying duration for neonates were 10.5 days and for older 6.7 days.After wearing of pump 15 patients received PLATELET and F.F.P.Bleeding is the most important complication after ARTERIAL SWITCH in the operating room and ICU, that was threated with PLATELET.Decreasing of cardiac output is the later complication that is treated with inotropes and the pulmonary edema the later complications may be threated with toilet of bronchial tree, optimum ventilation by IPPV and PEEP.

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APA: Copy

PANAHIPOUR, A.A., YOUSEFNIA, M.A., HEYDARPOUR, AVAZ, MIRZA AGHAYAN, M.R., & HADAVAND MIRZAEI, M.. (2003). ANESTHETIC MANAGEMENT AND INTENSIVE CARE FOR ARTERIAL SWITCH IN TRANSPOSITION OF VESSEL (TGV). JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 22(40), 51-58. SID. https://sid.ir/paper/63218/en

Vancouver: Copy

PANAHIPOUR A.A., YOUSEFNIA M.A., HEYDARPOUR AVAZ, MIRZA AGHAYAN M.R., HADAVAND MIRZAEI M.. ANESTHETIC MANAGEMENT AND INTENSIVE CARE FOR ARTERIAL SWITCH IN TRANSPOSITION OF VESSEL (TGV). JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2003;22(40):51-58. Available from: https://sid.ir/paper/63218/en

IEEE: Copy

A.A. PANAHIPOUR, M.A. YOUSEFNIA, AVAZ HEYDARPOUR, M.R. MIRZA AGHAYAN, and M. HADAVAND MIRZAEI, “ANESTHETIC MANAGEMENT AND INTENSIVE CARE FOR ARTERIAL SWITCH IN TRANSPOSITION OF VESSEL (TGV),” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 22, no. 40, pp. 51–58, 2003, [Online]. Available: https://sid.ir/paper/63218/en

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