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KMID : 0878620020060010035
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Korean Journal of Pediatric Anesthesia
2002 Volume.6 No. 1 p.35 ~ p.38
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Anesthetic Management of an 1,640 g Neonate Undergoing Total Correction of Interrupted Aortic Arch
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Sim Ji-Yeon
Choi In-Cheol
Park Jae-Hong
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Abstract
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We describe the successful management of an 1,640 g preterm low-birth weight infant of 34 weeks gestational age undergoing total repair of interrupted aortic arch. The patient has ventricular septal defect and was treated with an infusion of prostaglandin E1, which resulted in pulmonary blood flow through the ductus arteriosus to systemic circulation. The neonate was anesthetized with intravenous alfentanil, propofol, and vecuronium and corrected congenital cardiac defects under deep hyporthermic circulatory arrest. We operated modified ultrafiltration after weaning cardiopulmonary bypass and transferred to intensive care unit without special problem.
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KEYWORD
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Anesthetic management, low-weight neonate, open heart surgery
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