Universität zu Köln

Kaufmann, J., Bangen, U., Kindernnann, P., Laschat, M. and Wappler, F. (2014). Desaturation in an infant with univentricular circulation during gastroscopic intervention - a brief disconnection of the tube may be helpful. Anasthesiol. Intensivmed., 55. S. 614 - 620. EBELSBACH: AKTIV DRUCK & VERLAG GMBH. ISSN 1439-0256

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Abstract

We report of an almost three-year-old boy with congenital heart defect (double inlet left ventricle - DILV) with completed Fontan circulation, who was admitted for a gastroscopic intervention. Due to a bronchomalacia and the needed insufflation of the stomach, high ventilation pressures became necessary and caused a significant decrease of the pulmonary perfusion. Apart from other measures, the situation was stabilized by intermittent, short-term discontinuation of the ventilation. This case report describes the particular cardiopulmonary physiology in Fontan circulations and their significance for the anaesthesiological care in general and for situations with increased intra-abdominal pressure. Knowledge of this particular circulation physiology may be required for every anaesthesiologist or emergency physician on account of the increasing likelihood of becoming responsible for such patients at the operating theatre or within emergency care structures.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kaufmann, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bangen, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kindernnann, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Laschat, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wappler, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-424160
Journal or Publication Title:	Anasthesiol. Intensivmed.
Volume:	55
Page Range:	S. 614 - 620
Date:	2014
Publisher:	AKTIV DRUCK & VERLAG GMBH
Place of Publication:	EBELSBACH
ISSN:	1439-0256
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PULMONARY BLOOD-FLOW; RESUSCITATION COUNCIL GUIDELINES; LEFT-HEART SYNDROME; ANESTHETIC MANAGEMENT; FONTAN CIRCULATION; VENTILATION; OPERATION; PATIENT Multiple languages Anesthesiology; Critical Care Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42416