heart-rate-pulse-graph

Fontan Circulation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Avoid HypovolemiaOptimize HydrationAvoid Prolonged FastingDehydrationAvoid HypoxiaAvoid HypercarbiaAvoid AcidosisAvoid HyperventilationAvoid PEEPAvoid Pulmonary HypertensionPulmonary HypertensionArrhythmiasAvoid BradycardiaReduced Cardiac OutputAvoid IV bubblesCyanosisAvoid HypotensionAvoid Positive Pressure VentilationHepatic DysfunctionPreload DependentThromboembolism Risk

Pathophysiology

The Fontan is the final-stage palliation for a functionally single ventricle — hypoplastic left heart syndrome accounts for most cases (25% to 67%), along with tricuspid atresia , pulmonary atresia...

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