Open AccessAnaesthetic Management of Patient with Atrial Septal Defect Posted for Abdominal Hysterectomy
Author(s) -
Sara Mary Thomas,
Pranav Kanabar,
Dinesh Chauhan,
Malini Mehta
Publication year - 2021
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2021/47480.14554
Subject(s) - medicine , propofol , anesthesia , abdominal hysterectomy , isoflurane , hysterectomy , surgery , intubation , general anaesthesia
Incidence of Atrial Septal Defect (ASD) in acyanotic congenital heart disease is about 10%. This condition is commonly diagnosed in childhood, although in some cases it is detected in later stages of life. Patients with ASD and Pulmonary Hypertension (PHT) pose a great challenge to anaesthetic management. Authors are presenting a case of general anaesthetic management of 39-year-old lady having ASD with mild to moderate PHT undergoing abdominal hysterectomy, a noncardiac surgery. The patient was induced with Inj. Propofol slow Intravenous (IV) and intubation was achieved with succinylcholine and maintenance was done with atracurium and isoflurane. The primary goal of general anaesthesia was to avoid increase in PHT and to maintain systemic vascular resistance.