Key result
Physiology-guided anesthesia enables early non-cardiac surgery and immediate extubation in an infant with cyanotic CHD.
Why the study?
The timing and management of non-cardiac surgery in infants with complex cyanotic congenital heart disease prior to definitive cardiac palliation is not well established.
Case Report (n=1)
This case demonstrates that an individualized, physiology-guided anesthetic approach can enable successful early major non-cardiac surgery in infants with complex cyanotic congenital heart disease prior to definitive cardiac palliation.
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Hypothesis-generating for physiology-guided anesthesia in complex cyanotic CHD infants; prospective validation required before practice change.
Vaswani et al. (2025) conducted a case report in Cyanotic congenital heart disease (d-TGA, DILV) and VACTERL association (n=1). Individualized, physiology-guided anesthetic management was evaluated on Successful anesthetic management and extubation. An individualized, physiology-guided anesthetic approach enabled successful early non-cardiac surgery and immediate extubation in an infant with complex cyanotic CHD prior to definitive palliation.
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