Author: Whitaker, Emmett E; Miler, Veronica; Bryant, Jason; Proicou, Stephanie; Jayanthi, Rama; Tobias, Joseph D
Title: Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant Document date: 2017_3_31
ID: uezj1rcx_8
Snippet: A postoperative electrocardiogram and echocardiogram were normal, as were a complete blood count and comprehensive metabolic profile. The patient was found to have a positive nasal swab for coronavirus, adenovirus, and enterovirus, though he exhibited no symptoms of a viral infection. He was discharged to home 24 hours later with no obvious untoward sequelae. A follow-up with pediatric cardiology revealed no evidence of structural or functional h.....
Document: A postoperative electrocardiogram and echocardiogram were normal, as were a complete blood count and comprehensive metabolic profile. The patient was found to have a positive nasal swab for coronavirus, adenovirus, and enterovirus, though he exhibited no symptoms of a viral infection. He was discharged to home 24 hours later with no obvious untoward sequelae. A follow-up with pediatric cardiology revealed no evidence of structural or functional heart disease, and they recommended no further evaluation. The patient was scheduled to return for the previously cancelled surgical procedure (open bilateral orchidopexy) 3 months later at the age of 11 months. Given that the patient's cardiac arrest did not have a clear etiology, the surgical team and parents were interested in alternatives to general anesthesia for this medically-indicated surgery. At Nationwide Children's Hospital, given the concerns for the potential neurocognitive effects of general anesthesia in infants, a busy spinal Local and Regional Anesthesia 2017:10 submit your manuscript | www.dovepress.com
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