Singapore Med J 2014; 55(1): e9-e11; http://dx.doi.org/10.11622/smedj.2014008
Anaesthetic management of a premature low-birth-weight neonate with congenital complete heart block for implantation of temporary epicardial pacing wires
Ng O, Shahani JM
Correspondence: Dr Oriana Ng, oriana.ng@sgh.com.sg
ABSTRACT
The optimal anaesthetic management of neonates with complete congenital heart block (CCHB) is unknown, as there is a low incidence of such cases. Neonates with CCHB often require surgery for the initiation of electronic pacing. In addition to the challenges of anaesthetising a neonate, this procedure is risky due to the potential for hypotension, arrhythmias and cardiac arrest. We herein present the case of a premature low-birth-weight neonate with antibody-related CCHB and normal heart structure who underwent anaesthesia and surgery for epicardial pacing wire insertion on Day 1 of life. We also compare our patient’s anaesthetic conduct and outcome with similar previously reported cases.
Keywords: anaesthesia, complete congenital heart block, epicardial pacing wire, neonate, premature
Singapore Med J 2014; 55(1): e9-e11; http://dx.doi.org/10.11622/smedj.2014008
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