Korean J Anesthesiol.  2006 Oct;51(4):495-498. 10.4097/kjae.2006.51.4.495.

Anesthetic Management of Premature Infant with Severe Respiratory Distress Syndrome Who Underwent Surgical Closure of Patent Ductus Arteriosus: A case report

• Cho JH
• Yeo JS
• Kwon WK
• Kim DK
• Kim HK
• Lee KM

• KMID: 2045372
• DOI: http://doi.org/10.4097/kjae.2006.51.4.495

Abstract

Premature infants with respiratory distress syndrome may have clinically significant shunting through a patent ductus arteriosus (PDA). Left-to-right shunting through the PDA may lead to left ventricular volume overload and pulmonary edema. We present a case of perioperative management for severe respiratory distress syndrome in a premature infant who underwent surgical closure of PDA. Under general anesthesia, the infant was successfully managed by inhaled nitric oxide, high frequency oscillation ventilation with intermittent mandatory ventilation despite intermittent hypoxia. The operation was performed safely in the neonatal intensive care unit.

Keyword

high frequency oscillation ventilation; intermittent mandatory ventilation; nitric oxide; patent ductus arteriosus

MeSH Terms

Anesthesia, General
Anoxia
Ductus Arteriosus, Patent*
High-Frequency Ventilation
Humans
Infant
Infant, Newborn
Infant, Premature*
Intensive Care, Neonatal
Nitric Oxide
Pulmonary Edema
Ventilation
Nitric Oxide