The Turkish Journal of Pediatrics
2013 , Vol 55 , Num 6
Anesthesia for percutaneous transcatheter closure of atrial and ventricular septal defects in pediatric patients
1Department of Anesthesiology and Reanimation and 2Division of Pediatric Cardiology, Department of Pediatrics, Hacettepe
University Faculty of Medicine, Ankara, and 3Clinics of Anesthesiology and Reanimation, Akçaabat Haçkalı Baba State
Hospital, Trabzon, Turkey E-mail: aysunankay@hotmail.com
We aimed to investigate the anesthetic management of percutaneous closure
of atrial and ventricular septal defects (ASD/VSD) in pediatric patients. A
retrospective review of the anesthetic data of 351 patients who underwent
transcatheter closure of ASD/VSD was conducted. The mean age was 8.42 ±
5.71 years (4 months-18 years). VSD closure was performed in 52 patients
and the remaining 299 had a procedure for ASD closure. All patients were
premedicated with midazolam. All procedures were performed under general
anesthesia in the catheterization laboratory. After anesthesia induction with
sevoflurane or intravenous anesthetics, all patients were intubated. The
procedure was completed without any complications in 98.3% of patients.
Many anesthetic drugs have been used for pediatric cardiac catheterization,
but it cannot be concluded whether there is an ideal anesthetic method.
Regardless of the method, the anesthesiologist must consider not only the
need for adequate analgesia and immobility but also that for hemodynamic
stability during the procedure.
Keywords :
pediatric anesthesia, ventricular septal defect, atrial septal defect.