Introduction
To investigate the perioperative anesthesia management of percutaneous pulmonary valve
implantation (PPVI).
Methods
Clinical data of 6 patients undergoing PPVI operation were retrospectively analyzed
in children's heart center of Henan Provincial People's Hospital from December 2017
to January 2020, including 3 males and 3 females with mean age (16.3±5.4) years,weight
41.2±12.3Kg. All patients received endotracheal intubation under general anesthesia.
Systolic blood pressure (SBP) and diastolic blood pressure (DBP),heart rate(HR),central
venous pressure(CVP),pulse oxygen saturation(SPO2) were recorded before anesthesia
induction (T1),after anesthesia induction (T2),before surgery (T3),before percutaneous
pulmonary valve implantation (T4),during percutaneous pulmonary valve implantation
(T5),after percutaneous pulmonary valve implantation (T6) and out of the operating
room (T7). Right ventricular systolic (SRVP) and right ventricular diastolic (DRVP),
pulmonary artery systolic (SPAP) and diastolic (DPAP) were recorded before T4 and
after T6. Intraoperative complications were recorded. The time of tracheal catheter
removal was recorded. The time of stay in ICU and the time of discharge was recorded.
Results
Compared with T1,T2,T3,T4,T6,T7,SBP,DBP,HR and SPO2 was significantly reduced at T5
(P<0.05). Compared with T1,T2,T3,T4,T5, CVP was significantly reduced at T6 and T7
(P<0.05). Compared with T4, Right ventricular diastolic pressure (DRVP) was significantly
reduced and pulmonary artery diastolic pressure (DPAP) was significantly increased
at T6 (P<0.05). All patients were able to tolerate general anesthesia. One patient
was transferred directly to the ward without any complications related to anesthesia
and surgery. Five patients were transferred to ICU and 6 patients were discharged
successfully.
Discussion
Tracheal intubation general anesthesia is suitable for percutaneous PPVI surgery.
Hemodynamic monitoring should be strengthened during pulmonary valve implantation
to maintain circulatory stability.
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Identification
Copyright
© 2021 Published by Elsevier Inc.
