Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic arch
Interruption of the aortic arch is a rare anomaly affecting 1% of children with congenital heart disease. The systemic circulation is ductal dependent and is determined principally by the ratio of the resistances in the systemic and the pulmonary vascular bed. Any increase in the pulmonar...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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Series: | Annals of Cardiac Anaesthesia |
Subjects: | |
Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2011;volume=14;issue=3;spage=206;epage=210;aulast=Misra |
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author | Misra Satyajeet Koshy Thomas Mahaldar Divya |
author_facet | Misra Satyajeet Koshy Thomas Mahaldar Divya |
author_sort | Misra Satyajeet |
collection | DOAJ |
description | Interruption of the aortic arch is a rare anomaly affecting 1% of children with congenital heart disease. The systemic circulation is ductal dependent and is determined principally by the ratio of the resistances in the systemic and the pulmonary vascular bed. Any increase in the pulmonary vascular resistance may increase the dead space ventilation due to acute pulmonary hypoperfusion. We report a case where sudden decreases in the end-tidal carbon-dioxide due to pulmonary hypoperfusion mimicked accidental endotracheal tube extubation in an infant undergoing repair of interrupted aortic arch. |
first_indexed | 2024-04-12T11:53:17Z |
format | Article |
id | doaj.art-f5ac01ec2310442099d2a9df8d57fb82 |
institution | Directory Open Access Journal |
issn | 0971-9784 0974-5181 |
language | English |
last_indexed | 2024-04-12T11:53:17Z |
publishDate | 2011-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Annals of Cardiac Anaesthesia |
spelling | doaj.art-f5ac01ec2310442099d2a9df8d57fb822022-12-22T03:34:07ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97840974-51812011-01-01143206210Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic archMisra SatyajeetKoshy ThomasMahaldar DivyaInterruption of the aortic arch is a rare anomaly affecting 1% of children with congenital heart disease. The systemic circulation is ductal dependent and is determined principally by the ratio of the resistances in the systemic and the pulmonary vascular bed. Any increase in the pulmonary vascular resistance may increase the dead space ventilation due to acute pulmonary hypoperfusion. We report a case where sudden decreases in the end-tidal carbon-dioxide due to pulmonary hypoperfusion mimicked accidental endotracheal tube extubation in an infant undergoing repair of interrupted aortic arch.http://www.annals.in/article.asp?issn=0971-9784;year=2011;volume=14;issue=3;spage=206;epage=210;aulast=MisraEnd-tidal carbon-dioxideinterrupted aortic archpulmonary artery hypertension |
spellingShingle | Misra Satyajeet Koshy Thomas Mahaldar Divya Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic arch Annals of Cardiac Anaesthesia End-tidal carbon-dioxide interrupted aortic arch pulmonary artery hypertension |
title | Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic arch |
title_full | Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic arch |
title_fullStr | Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic arch |
title_full_unstemmed | Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic arch |
title_short | Sudden decrease in end-tidal carbon-dioxide in a neonate undergoing surgery for type B interrupted aortic arch |
title_sort | sudden decrease in end tidal carbon dioxide in a neonate undergoing surgery for type b interrupted aortic arch |
topic | End-tidal carbon-dioxide interrupted aortic arch pulmonary artery hypertension |
url | http://www.annals.in/article.asp?issn=0971-9784;year=2011;volume=14;issue=3;spage=206;epage=210;aulast=Misra |
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