Abstract

Surgical Medicine Open Access Journal Unusual Intra-Operative Variable Plateau Capnogram Waveform in a Patient with Critical Unilateral Pulmonary Artery Stenosis: Case Report Remie Saab1 and Surendrasingh Chhabada1,2* 1Department of Outcomes Research, USA 2Department of Pediatric Anesthesia, USA *Corresponding author: Surendrasingh Chhabada, Department of Outcome Research; Pediatric and Congenital Cardiac Anesthesia, 9500 Euclid Avenue, P21, Cleveland, Ohio 44195, USA Submission: January 30, 2020;Published: February 10, 2020 DOI: 10.31031/SMOAJ.2020.03.000563 ISSN 2578-0379 Volume3 Issue3

Highlights

  • We are presenting a case of a 10 year-old boy with a history of repaired Tetralogy of Fallot (TOF) undergoing a cardiac catheterization for recurrent left pulmonary artery (LPA) stenosis

  • End tidal carbon dioxide (EtCO2) monitoring using capnography is a standard of care in anesthesia and essential for patient safety [1]

  • We present a case of an unusual capnogram waveform that was detected during a diagnostic and therapeutic cardiac catheterization in a pediatric patient with history of Tetralogy of Fallot (TOF) repair with transannular patch and left pulmonary artery (LPA) patch

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Summary

Introduction

End tidal carbon dioxide (EtCO2) monitoring using capnography is a standard of care in anesthesia and essential for patient safety [1]. We present a case of an unusual capnogram waveform that was detected during a diagnostic and therapeutic cardiac catheterization in a pediatric patient with history of Tetralogy of Fallot (TOF) repair with transannular patch and left pulmonary artery (LPA) patch. A 10 year-old male with a history of TOF repaired with transannular patch and LPA patch augmentation, presented for diagnostic cardiac catheterization and intervention. He had multiple interventions in the past for recurrent LPA stenosis. The patient was extubated in catheterization lab without any complications with uneventful subsequent hospital course

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