患有先天性心脏病的成人患者越来越多地出现非心脏手术。在神经外科中，这种类型的患者的麻醉管理需要细致的手术麻醉计划。需要紧急干预，随着先天性心脏病的出现演变成艾森曼格综合征，与困难的气道有关，对麻醉师来说是一个挑战。使用右美托咪定可能是一个有效的替代方案。我们介绍一个患有唐氏综合症的病人,和艾森曼格综合征，他们从急诊科接受了脑脓肿引流，随后计划进行再干预。我们比较了两种手术中使用的不同麻醉技术，分析他们对患者呈现的主要生理病理改变的影响。
Adults patients with congenital heart disease increasingly present for non cardiac surgery. The anesthetic management this type of patients in neurosurgery requires a meticulous surgical anesthetic planning. The need for urgent intervention, with the presence of a congenital heart disease evolved to Eisenmenger Syndrome, associated to a difficult airway, is a challenge for the anesthesiologist. The use of dexmedetomidine may be a valid alternative. We present the
case of a patient with Down syndrome, and Eisenmenger syndrome who underwent drainage of brain abscess from the emergency department and was subsequently scheduled for reintervention. We compare the different anesthetic techniques used in both procedures, analyzing the implications they had on the main physiopathological alterations presented by the patient.
