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Peri‐operative trans‐oesophageal echocardiography and nitric oxide during general anaesthesia in a patient with Eisenmenger's syndrome
Author(s) -
Bouch D. C.,
Allsager C. M.,
Moore N.
Publication year - 2006
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2006.04758.x
Subject(s) - medicine , eisenmenger syndrome , anesthesia , general anaesthesia , intracardiac injection , nitric oxide , pulmonary artery , pulmonary hypertension , cardiology
Summary We describe the peri‐operative care of a patient with Eisenmenger's syndrome presenting for laparotomy. These patients require techniques to prevent the potential increase in intracardiac shunt caused by anaesthesia, by minimising increases in pulmonary artery pressure and reductions in systemic vascular resistance. The successful use of combined epidural and general anaesthesia with elective use of inhaled nitric oxide as a pulmonary vasodilator, and intra‐operative trans‐oesophageal echocardiography is described.