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Indian Journal of Anesthesia and Analgesia 12(2):p 153-155, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.14
Case Report
Anaesthetic Management of Child with Congenital Heart Disease Posted for Non-cardiac Surgery
Pavithra R., Ravi Madhusudhana, Sujatha M.P, Revathi Ashok
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(2):p 153-155, April -June 2025. | DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.14
How Cite This Article:
Pavithra R, Madhusudhana R, et al. Anaesthetic management of child with congenital heart disease posted for non-cardiac surgery. Ind J Anesth Analg. 2025;12(2):153-155.Timeline
Received : January 27, 2025
Accepted : March 21, 2025
Published : June 23, 2025
Abstract
Introduction: Congenital heart disease (CHD) pose unique challenges for anaesthetic management. These children may have impaired cardiac output, altered pulmonary dynamics and a variety of comorbidities that require careful preoperative evaluation and perioperative management. Case Report: A 4 year old boy diagnosed with Left encysted hydrocoele of cord was posted for Left sided Herniotomy. He is a known case of Atrial Septal Defect (ASD), Patient did not have any history of previous surgeries or any NICU/PICU admissions. Pre-operative systemic examination and airway examination were normal, 2d echo was done which showed situs solitus levocardia, 25mm large ASD with left to right shunt. dilated RA & RV. grade 1 TR with mild PAH, mild PR, noPS. LVEF 60%. Cardiac opinion was taken and can be taken up for surgery under moderate risk. Intraoperatively patient was induced with Inj. glycopyrolate, Inj. midazolam, Inj.Propofol and Inj.Atracurium. Patient was intubated and maintained with Isoflurane, O2 & N2O; monitoring of SBP, RR, NIBP, SPO2 were done. Post-operative vitals were stable. Pt was extubated and shifted to PACU for observation. Conclusion: Anaesthetic management of children with congenital heart disease undergoing non-cardiac surgery is complex and requires a team approach, involving paediatric anaesthesiologists, cardiologists, and surgeons. Detailed preoperative assessment, individualized anaesthetic techniques, and careful intraand postoperative management are critical to minimizing risk and optimizing outcomes in these vulnerable patients.
References
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Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Pavithra R, Madhusudhana R, et al. Anaesthetic management of child with congenital heart disease posted for non-cardiac surgery. Ind J Anesth Analg. 2025;12(2):153-155.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| January 27, 2025 | March 21, 2025 | June 23, 2025 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.12225.14
Keywords
Anaesthetic managementCongenital heart diseaseNon-cardiac surgeryPulmonary hypertensionSearch for Similar Articles
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Timeline
| Received | January 27, 2025 |
| Accepted | March 21, 2025 |
| Published | June 23, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
