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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2014; 2(12): 934-937
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.934
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.934
Scalp block for brain abscess drainage in a patient with uncorrected tetralogy of Fallot
Sameer Sethi, Sonia Kapil, Department of Anesthesia, Post Graduate Institute of Medical Education And Research, Chandigarh 160012, India
Author contributions: Both authors contributed in the preparation of the manuscript.
Correspondence to: Dr. Sameer Sethi, Department of Anesthesia, Post Graduate Institute of Medical Education And Research, Sector 12, Chandigarh 160012, India. sethi.sameer@rediffmail.com
Telephone: +91-99-14208491 Fax: +91-01-72274401
Received: May 23, 2014
Revised: September 20, 2014
Accepted: October 14, 2014
Published online: December 16, 2014
Revised: September 20, 2014
Accepted: October 14, 2014
Published online: December 16, 2014
Abstract
We report a case of an 11-year-old boy with diagnosed but uncorrected tetralogy of Fallot presented to us for brain abscess drainage. The child was managed successfully with scalp block with sedation.
Core tip: We present a case report describing the use of scalp block combined with sedation for brain abscess drainage in a child with uncorrected tetralogy of Fallot. The goal should be to maintain hemodynamic stability and avoid any increase of a right to left shunt. Therefore, we decided to perform scalp block combined with sedation in this child. We used O2 inhalation, analgesia and sedation with fentanyl, midazolam and ketamine to alleviate anxiety and increase systemic vascular resistance, pulmonary perfusion and oxygenation.