congenital cardiac

Question 1

what is fontans

Answer 1

anastamoses of systemic venous system with pulmonary arterial - basically excludes RV

Question 2

anasthetic considerations in fontan

Answer 2

1. minimize resistance to venous return (increased intrathoracic pressure, etc) 2. reduce PVR 3. maintain venous blood return - maintain pressure gradient. 4. support myocardial function (sinus, avoid elevated filling pressures,