Abstract

DE LA PARTE PEREZ, Lincoln. Anesthesia in the tetralogy of Fallot. Rev Cubana Pediatr [online]. 2004, vol.76, n.4. ISSN 0034-7531.

A bibliographic review of the main characteristics of this disease, the hemodynamic repercussion it produces, the complications appearing during the preoperatory, the defects associated with it, the preoperative treatment and the anesthetic management used in it, is made. These patients that are scheduled for an anatomical reconstruction are at best only partially compesated, so they can present hemodynamic unstability with the administration of anesthetic agents, specially during anesthetic induction. Taking all this into account, they should receive a delicate and extremely careful attention so as not to worsen the preexisting cardiovascular dysfunction that will create a cycle of severeness of hypoxia, acidosis and reduction of the cardiac output.

Keywords : Pediatric cardiovascular anesthesia; anesthesia in congenital heart diseases; anesthesia in the cyanotic; anesthesia in the Tetralogy of Fallot; congenital heart diseases/anesthetic management.