Korean J Anesthesiol.  1996 Sep;31(3):359-365. 10.4097/kjae.1996.31.3.359.

Anesthetic Management of 10 Heart Transplantation cases

• Lee EJ
• Cho MW

• KMID: 2239070
• DOI: http://doi.org/10.4097/kjae.1996.31.3.359

Abstract

BACKGROUND: For 3 years since November, 1992, when first heart transplantation was performed in Asan Medical Center, total of 16 heart failure patients underwent that operation with succesful results. We are describing anesthetic management of former 10 cases.
METHODS
Retrospective study by reviewing patients' medical records.
RESULTS
Recipients had severe heart failure and pulmonary hypertension. Their age distribution was between 22 and 50 years and ratio of male to female was 8:2. Careful administration of midazolam and fentanyl was the preferred induction method and vecuronium was used for both intubation and maintenance in most of the cases. High dose narcotic technique(fentanyl 100 microgram/kg) was satisfactory for the induction and maintenance of anesthesia. Sterile technique was used placing endotracheal tubes and catheterizations. After transplantation, dobutamine, dopamine, isoproterenol and isosorbide dinitrate(Isoket) were required to support venticular performances. At ICU, postoperative courses were uneventful. Average duration of ICU stay was 10 days. There was no mortality.
CONCLUSIONS
Anesthetic management of heart transplantation patients regarding fentanyl anesthesia, sterile technique,inotropic drug usages were described.

Keyword

Anesthetics; Intravenous fentanyl; Transplantation heart

MeSH Terms

Age Distribution
Anesthesia
Anesthetics
Catheterization
Catheters
Chungcheongnam-do
Dobutamine
Dopamine
Female
Fentanyl
Heart Failure
Heart Transplantation*
Heart*
Humans
Hypertension, Pulmonary
Intubation
Isoproterenol
Isosorbide
Male
Medical Records
Midazolam
Mortality
Retrospective Studies
Vecuronium Bromide
Anesthetics
Dobutamine
Dopamine
Fentanyl
Isoproterenol
Isosorbide
Midazolam
Vecuronium Bromide