October 1, 2025JA Clinical ReportsOpen Access

Anesthesia management for laparoscopic surgery in the Trendelenburg position in a patient with Fontan physiology and severe hypoxemia: a case report

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Patients with Fontan physiology can undergo laparoscopic surgery in the Trendelenburg position with careful anesthesia management.
SpO2 levels increased during surgery from a low of 70% with strict monitoring and medication management.
Anesthesia was maintained using remimazolam and remifentanil alongside an abdominal wall block for effective pain control.
Monitoring ScvO2 during surgery is crucial for assessing circulatory effects due to increased pulmonary vascular resistance.

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Implication

Case report shows anesthesia management during laparoscopic surgery improves oxygen levels in Fontan patients, implying careful monitoring is essential.

Cite This Study

Okano et al. (2025) studied this question.

synapsesocial.com/papers/68dd7e7efe798ba2fc496234 https://doi.org/10.1186/s40981-025-00820-w

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Implication

Case report shows anesthesia management during laparoscopic surgery improves oxygen levels in Fontan patients, implying careful monitoring is essential.

Anesthesia management for laparoscopic surgery in the Trendelenburg position in a patient with Fontan physiology and severe hypoxemia: a case report

Key Points

Discussion

Implication

Cite This Study

Anesthesia management for laparoscopic surgery in the Trendelenburg position in a patient with Fontan physiology and severe hypoxemia: a case report

Key Points

Discussion

Implication

Cite This Study

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