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Fontan Management: Decrease Pulmonary Vascular Resistance. Perioperative Challenges. Management. Judicious premedication Prompt airway control Be wary of MAC Adequate analgesia Normothermia pCO 2 ~30-35 mmHg Decrease PVR Milrinone, dobutamine, epoprostanol. Hypercapnia Hypoxemia
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Fontan Management: Decrease Pulmonary Vascular Resistance Perioperative Challenges Management Judicious premedication Prompt airway control Be wary of MAC Adequate analgesia Normothermia pCO2 ~30-35 mmHg Decrease PVR Milrinone, dobutamine, epoprostanol • Hypercapnia • Hypoxemia • Pain • Hypothermia • Inadequate anesthesia Haseyama et al, J Thorac Cardiovasc Surg 2006;132:1232-3