id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
gra-1417	Baddi, Dr Mahalakshmi M; C, Dr Nirmala B	ANAESTHETIC MANAGEMENT OF A CASE OF VARICOSE VEINS SURGERY,IN A PATIENT WITH EBSTEIN'S ANOMALY.	2020	2	.pdf	application/pdf	717	36	45	INTRODUCTION Ebstein's anomaly is rare congenital heart disease ,in which there is downward displacement and elongation of tricuspid valve with poor contractile right ventricle ,characterized by dysplastic abnormalities of both basal and free attachments of tricuspid valve leaets resulting in tricuspid regurgitation. fentanyl 75mcg helps in attenuating the hormonal responses to stresses associated with surgery CONCLUSION A thorough understanding of the pathophysiology of this condition is essential for the successful anaesthetic management in ebsteins anamoly and anaesthetic techniquechoosen should be individualized based on cardiac status , type of surgery, site of surgery and also the duration of surgery, our experience shows that , a low dose epidural should be considered as one of option available in ebsteins anomaly for lower limb surgeries.	cache/gra-1417.pdf	txt/gra-1417.txt