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Case Reports: Reminder of important clinical lesson
Anaesthetic management of a toddler with uncorrected tetralogy of Fallot undergoing surgery for epidural haematoma
  1. Aurobinda Kanungo,
  2. Nidhi Singh and
  3. Amiya Kumar Barik
  1. Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Amiya Kumar Barik; amiyabarik.scb{at}gmail.com

Abstract

The literature on the anaesthetic management of a toddler presenting to the emergency department with an acute epidural haematoma with an uncorrected tetralogy of Fallot is sparse and management can be challenging. The main anaesthetic goals are to increase or maintain systemic vascular resistance and decrease pulmonary vascular resistance for cardiovascular stability, while maintaining cerebral perfusion pressure and decreasing intracranial pressure for cerebral protection. Thus, a balanced approach is desirable while managing such cases from emergency to the intensive care unit.

  • Anaesthesia
  • Trauma
  • Neuroanaesthesia
  • Trauma CNS /PNS
  • Cardiothoracic surgery

http://dx.doi.org/10.1136/bcr-2022-249961

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    Footnotes

    • Contributors AK conducted the case, NKS drafted the article, and AKB was involved in conducting the case and final drafting of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.