Abstract

DE LA PARTE PEREZ, Lincoln  and  HERNANDEZ SUAREZ, Blas. Anestesia en la operación de Blalock-Taussig. Rev Cubana Pediatr [online]. 2001, vol.73, n.3, pp. 181-185. ISSN 1561-3119.

In spite of the advances achieved by the surgical techniques for the total repair of congenital cyanotic heart defects in the last decade, some patients still need palliative surgical procedures during the first months of life. A retrospective study of 160 patients that were operated on by using Blalock-Taussig palliative technique at the Heart Center of "William Soler" Pediatric Teaching Hospital, from 1990 to 1993, was conducted. 120 patients suffered from Tetralogy of Fallot, 35 from pulmonary atresia, and the other 5 from transposition of great vessels. Fentanyl was the most used agent in the induction and maintenance of anesthesia and it produced a high hemodynamic stability. The most common transoperative complications were cardiac arrhytmias (25 patients, 15.6 %) and, within them, the most were ventricular extrasystoles (18 patients). There were no deaths during the transoperative.

Keywords : HEART DEFECTS, CONGENITAL [surgery]; THORACIC SURGERY [methods]; CARDIAC SURGICAL PROCEDURES; FENTANYL [therapeutic use]; PALLIATIVE CARE; TETRALOGY OF FALLOT [surgery]; PULMONARY ATRESIA [surgery]; TRANSPOSITION OF GREAT VESSELS [surgery]; ANESTHESIA, INTRAVENOUS [therapeutic use]; INFANT, NEWBORN.

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