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Original Article | Anaesthesiology | Volume 15 Issue 3, March 2026 | Pages: 1218 - 1220 | India
Anaesthetic Management of Cerebral Abscess Drainage in a Patient with Eisenmenger Syndrome Using USG Guided Scalp Block: A Case Report
Abstract: Patients with Eisenmenger syndrome present significant anaesthetic challenges due to severe pulmonary hypertension and right-to-left intracardiac shunting leading to chronic hypoxaemia. Anaesthetic management in such patients requires meticulous planning to avoid factors that increase pulmonary vascular resistance or decrease systemic vascular resistance. We report the successful anaesthetic management of a 23-year-old male with Eisenmenger syndrome secondary to a large ventricular septal defect who presented with a left frontal cerebral abscess requiring burr hole aspiration. Considering the high risk associated with general anaesthesia, the procedure was performed under USG guided scalp block with monitored anaesthesia care. The patient remained haemodynamically stable throughout the procedure without major complications. This case highlights the role of regional anaesthetic techniques such as USG guided scalp block in high-risk cardiac patients undergoing neurosurgical procedures.
Keywords: Eisenmenger syndrome, USG guided scalp block, cerebral abscess, pulmonary hypertension, congenital heart disease
How to Cite?: Dr. Pramod Bhale, Dr. Tejas Patil, Dr. Jyeshtharaj Patangankar, Dr. Kunda Dhule, "Anaesthetic Management of Cerebral Abscess Drainage in a Patient with Eisenmenger Syndrome Using USG Guided Scalp Block: A Case Report", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 1218-1220, https://www.ijsr.net/getabstract.php?paperid=SR26318003558, DOI: https://dx.dx.doi.org/10.21275/SR26318003558