Anesthetic management for drainage of cerebral abscess in a child with uncorrected Tetralogy of Fallot

Abstract

Tetralogy of Fallot is the most common cause of cyanotic congenital heart disease that consists of four defects. Children with uncorrected tetralogy of fallot can present for non-cardiac surgeries. Such patients are prone to develop cerebral abscess because of right to left shunting of blood and absence of pulmonary clearance of microorganisms. These cases are a significant challenge for anesthesiologists. General anesthesia is a riskier anesthetic technique. I present a case of six years male child with uncorrected tetralogy of fallot who underwent drainage of brain abscess under scalp block with sedation and had uneventful recovery. Key words: Tetralogy of Fallot; Cyanotic heart disease; cerebral abscess; Scalp block Citation: Ayesha K. Anesthetic management for drainage of cerebral abscess in a child with uncorrected Tetralogy of Fallot. Anaesth. pain intensive care 2022;26(6):819−822; DOI: 10.35975/apic.v26i6.2004