Anesthesia management for transcatheter atrial septal defect closure in pediatric patients Pediyatrik hastalarda transkateter atriyal septal defekt kapatılmasında anestezi yönetimi
Journal of Clinical and Analytical Medicine, cilt.7, sa.6, ss.760-762, 2016 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 6
- Basım Tarihi: 2016
- Doi Numarası: 10.4328/jcam.3231
- Dergi Adı: Journal of Clinical and Analytical Medicine
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.760-762
- Anahtar Kelimeler: Anesthesia, Atrial septal defect, Pediatrics
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Surgical treatment of the atrial septal defect has curative results, but improvements in interventional technologies have made transcatheter atrial septal defects closure procedure a feasible and safe alternative to surgery. Material and Method: We aimed to investigate the anesthetic management of percutaneous closure of atrial septal defects under transesophageal echocardiography guidance in pediatric patients. Results: A retrospective review of the anesthetic data of 25 patients who underwent transcatheter closure of atrial septal defects was conducted. The mean age 8.66±3.34 years. All procedures were performed under general anesthesia with the guidance of transesophageal echocardiography. We did not encounter any major complication related to the procedure or anesthesia. Transient bradycardia occurred in two patients, which was treated with atropine. Discussion: An ideal anesthesia method and anesthetic drug combination for pediatric cardiac catheterization procedures is still controversial. Whether general anesthesia or deep sedation is preferred, the hemodynamic effects of the drugs used are known very well. The anesthesiologist should take precautions against possible complications and the patient’s hemodynamic stability must be closely followed.