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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Main Authors: Misra Satyajeet, Koshy Thomas, Mahaldar Divya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
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.
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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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AT koshythomas suddendecreaseinendtidalcarbondioxideinaneonateundergoingsurgeryfortypebinterruptedaorticarch
AT mahaldardivya suddendecreaseinendtidalcarbondioxideinaneonateundergoingsurgeryfortypebinterruptedaorticarch