Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case)
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Abstract
Atrial Septal Defect is most common congenital developmental acyanotic cardiac anomaly. There is left to right shunt of blood in normal compensated state. In decompensated state, the shunt is reversed and flow is from right to left side causing heart failure and thrombo-embolic event. Here, we report a case of Humerus fracture with large ASD, managed under General Anaesthesia with Interscalene block without any deleterious effects like Venous Air Embolism, Spontaneous Reversal of Shunt etc. As patient was in Beach chair position.
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[3] Hidano G, Uezono S, Terui K. A retrospective survey of adverse maternal and neonatal outcomes for parturients with congenital heart disease. Int J Obs Anaesthesia. 2011; 20: 229-235.
[4] Roy R, Prasad A. Anaesthesia management of patient with large atrial septal defect with morderate pulmonary hypertension for total abdominal hysterectomy. J Anesth Crit Care Open Access. 2015; 2: 00075.
[5] Sarkar MS, Desai PM. Pulmonary hypertension and cardiac anaesthesia: Anaesthesiologist’s perspective. Ann Card Anaesth. 2018; 21 :116-122.
[6] Hickey PR, Hansen DD, Strafford M, et al. Pulmonary and systemic haemodynamic effects of nitrous oxide in infants with normal and elevated pulmonary vascular resistance. Anaesthesiology. 1986; 65(4):374-378.
[2] Bedford DE. The anatomical types of atrial septal defect. Their incidence and clinical diagnosis. Am J Cardiol. 1960; 6: 568-574.
[3] Hidano G, Uezono S, Terui K. A retrospective survey of adverse maternal and neonatal outcomes for parturients with congenital heart disease. Int J Obs Anaesthesia. 2011; 20: 229-235.
[4] Roy R, Prasad A. Anaesthesia management of patient with large atrial septal defect with morderate pulmonary hypertension for total abdominal hysterectomy. J Anesth Crit Care Open Access. 2015; 2: 00075.
[5] Sarkar MS, Desai PM. Pulmonary hypertension and cardiac anaesthesia: Anaesthesiologist’s perspective. Ann Card Anaesth. 2018; 21 :116-122.
[6] Hickey PR, Hansen DD, Strafford M, et al. Pulmonary and systemic haemodynamic effects of nitrous oxide in infants with normal and elevated pulmonary vascular resistance. Anaesthesiology. 1986; 65(4):374-378.
| Files | ||
| Issue | Vol 9 No 4 (2023): Autumn |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i4.13529 | |
| Keywords | ||
| Anaesthesia Large ASD Humerus fracture Interscalene block. | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Suryavanshi K, Deshpande J. Anaesthesia Management of Case of Atrial Septal Defect (Cardiac Disease) for Proximal Humerus Fracture (Non-Cardiac Case). Arch Anesth & Crit Care. 2023;9(4):357-359.
