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hypospadias repair

Cambridge University Press (1)

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Chapter 27 - Bidirectional Glenn
from Section 5 - Single-Ventricle Physiology
- By Amanpreet S. Kalsi
Edited by Laura K. Berenstain, James P. Spaeth
Book:

Congenital Cardiac Anesthesia

Published online:

09 September 2021

Print publication:

16 September 2021, pp 198-206
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Summary

This chapter details the perioperative management of an infant with hypoplastic left heart syndrome post stage II palliation who presents for hypospadias repair. The anatomy, physiology, and significance of manipulating pulmonary vascular resistance and systemic vascular resistance on systemic oxygen delivery are highlighted. In addition, intraoperative airway management, anesthetic and analgesic plans, as well as pharmacological agents are detailed. Considerations for suitability for outpatient surgery are mentioned. Finally, a summary of intraoperative goals pertinent to this congenital heart defect are listed.