Management of a Patient With Tetralogy of Fallot, Congenital Diaphragmatic Hernia, and Complete Left Lung Agenesis. A A Case Rep 2016 Jul 01;7(1):16-20
Date
06/04/2016Pubmed ID
27258177DOI
10.1213/XAA.0000000000000328Scopus ID
2-s2.0-85021851271 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
We describe the rare case of an infant with congenital diaphragmatic hernia, unilateral lung agenesis, and unpalliated single-ventricle physiology. Infants with congenital diaphragmatic hernia and parallel circulation are at risk for maldistribution of systemic and pulmonary blood flow. Optimal perioperative management should include an assessment of the ratio of pulmonary to systemic blood flow (Qp:Qs). Traditionally, arterial and systemic venous oxygen (SvO2) saturations are needed to calculate Qp:Qs. However, in this case, SvO2 measurement was not feasible. On the basis of a previously described relationship, we used 2-site near-infrared spectroscopy to calculate a near-infrared spectroscopy-derived SvO2, which was then used to estimate Qp:Qs and guide goal-directed interventions.
Author List
Labovsky K, Hoffman G, Scott JAuthors
George M. Hoffman MD Chief, Professor in the Anesthesiology department at Medical College of WisconsinKristen Labovsky MD Assistant Professor in the Anesthesiology department at Medical College of Wisconsin
John P. Scott MD Professor in the Anesthesiology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Abnormalities, MultipleDisease Management
Female
Hernias, Diaphragmatic, Congenital
Humans
Infant, Newborn
Lung
Lung Diseases
Tetralogy of Fallot
