Bài viết bước đầu đánh giá kinh nghiệm gây mê hồi sức năm trường hợp đầu tiên chuyển vị đại động mạch kiểu d (d-TGA) được chẩn đoán và điều trị tại Bệnh viện Sản Nhi Nghệ An. Phương pháp: Trình bày năm trường hợp d-TGA được chẩn đoán lần đầu; gây mê hồi sức và phẫu thuật Aterial Switch (ASO). Các dữ liệu lấy từ hồ sơ bệnh án điện tử trên phần mềm EHC của Bệnh viện Sản Nhi Nghệ An. | Vietnam Journal of Community Medicine Vol. 64 Special Issue 11 252-258 ANESTHESIA FOR PEDIATRIC PATIENTS WITH GREAT ARTERY TRANSPLACEMENT SURGERY EXPERIENCE IN THE FIRST FIVE CASES AT NGHE AN OBSTETRICS AND PEDIATRICS HOSPITAL Tran Minh Long Tang Xuan Hai Le Trong Thong Nghe An Obstetrics and Pediatrics Hospital - No. 19 Ton That Tung Hung Dung Ward Vinh City Nghe An Vietnam Received 14 09 2023 Revised 29 09 2023 Accepted 31 10 2023 ABSTRACT Objectives Initial assessment of anesthesia and resuscitation experience in the first five cases of d-type transposition of the great arteries d-TGA diagnosed and treated at Nghe An Obstetrics and Pediatrics Hospital. Methods Five cases of d-TGA diagnosed for the first time are presented anesthesia for Aterial Switch Operation ASO . The data is taken from electronic medical records on EHC software of Nghe An Obstetrics and Pediatrics Hospital. The information includes epidemiology clinical symptoms paraclinical symptoms before during and after surgery pre-operative treatment and post-operative resuscitation. Through patient preparation and preoperative resuscitation in anesthesia with extracorporeal circulation CEC and post-operative recovery at Nghe An Obstetrics and Pediatrics Hospital. Results Five patients were transferred to Nghe An Obstetrics and Pediatrics Hospital from 2 to 69 days old had not been diagnosed prenatally the diagnosis of d-TGA was determined immediately by echocardiography after admission to the hospital. All five patients were anesthetized and had CEC Aterial Switch surgery technic. Conclusions There are many difficulties in diagnosing d-TGA before birth and at the primary health care level. Not much experience preparing pediatric patients Need additional investigations for other defects before surgery Experience in anesthesia and post-operative resuscitation is still limited There is still a lack of some equipment such as ECMO. Nghe An Obstetrics and Pediatrics Hospital is a center capable of .
