: Since 1954, approximately 700 infants less than one year of age have been treated surgically in this institution for congenital malformations of the heart and great vessels. The details of anesthetic management of the last 100 infants have been summarized and analyzed with special attention to the relationship between the respiratory and circulatory abnormalities of congenital heart disease and the anesthetic agents and techniques. Problems considered in the management of these infants include the emergent nature of operation, preoperative state of the patients, cardiac arrhythmias, blood and fluid replacement, cardiopulmonary bypass in infants, and problems posed by the unique pathophysiology of specific cardiac malformations. Respiratory insufficiency from a variety of causes and central nervous system damage were particular problems in the early postoperative period.
(C) 1966 American Society of Anesthesiologists, Inc.