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General anesthesia with isoflurane for diaphragmatic hernia repair during ECMO
J B Atkinson1, R Hamid, D J Steward
1Department of Anesthesia, Childrens Hospital Los Angeles, University of Southern California 90027.
Abstract:
Isoflurane has been administered via the oxygenator of the extracorporeal membrane oxygenation (ECMO) circuit to provide anesthesia and prevent hemodynamic instability during surgical repair of congenital diaphragmatic hernia. A comparison of a series of patients treated with isoflurane demonstrates that there is less fluctuation in heart rate and blood pressure than when surgery is performed under fentanyl analgesia alone.