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Related Experiment Video

Updated: Jun 20, 2026

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

The Fontan patient.

Philip D Bailey¹, David R Jobes

¹Division of Cardiothoracic Anesthesiology, Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. baileyp@email.chop.edu

Anesthesiology Clinics

|August 26, 2009

Summary

This summary is machine-generated.

Patients with Fontan physiology require specialized anesthetic care for noncardiac surgery. Understanding Fontan physiology is crucial for optimizing perioperative management and improving outcomes.

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Area of Science:

Cardiology
Anesthesiology
Pediatric Surgery

Background:

Improved survival rates in patients with univentricular heart defects undergoing palliative procedures.
Increasing number of Fontan physiology patients requiring noncardiac surgical interventions.
Need for specialized perioperative care due to unique physiological challenges.

Purpose of the Study:

To provide a comprehensive understanding of Fontan physiology for anesthesiologists.
To guide the development of anesthetic plans for patients with Fontan physiology undergoing noncardiac surgery.
To highlight key perioperative considerations for this patient population.

Main Methods:

Review of current literature on Fontan physiology and its implications for anesthesia.
Analysis of potential physiological perturbations caused by noncardiac surgical procedures.
Discussion of anesthetic agents, ventilation strategies, and cardiovascular drugs relevant to Fontan patients.

Main Results:

Detailed explanation of normal Fontan circulation.
Identification of risks and complications associated with anesthesia in Fontan physiology.
Guidance on tailoring anesthetic management to individual patient needs and surgical procedures.

Conclusions:

Anesthesiologists must possess a thorough understanding of Fontan physiology to ensure patient safety.
Comprehensive anesthetic planning is essential for managing patients with Fontan physiology.
Application of presented principles will enhance perioperative care and outcomes for these complex patients.