Anaesthetic management for tympanomastoid exploration in a child having a device implanted for patent ductus arteriosus correction

Children undergoing non-cardiac surgery under anaesthesia even with corrected congenital heart defects have high chances of morbidity and mortality in the peri-operative period. Factors responsible are complicated disease pattern, least or non- compensated physiological status, associated co-morbidities. Opioid and local analgesia, or general anaesthesia with propofol induction and maintenance with sevoflurane or isoflurane are acceptable techniques for anaesthesia. In the current presention, we used an α2- adrenoceptor agonist as an adjunct along with general anaesthesia for a stable haemodynamic status.