{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:00:43Z","timestamp":1781254843242,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cyanotic heart disease is a known risk factor for brain abscess. Anesthesia for burr\u2010hole drainage in these patients can be challenging due to complications like an increase in right\u2010to\u2010left shunt, arrhythmias, heart failure, and paradoxical air embolism. The risk of these complications can be decreased by choosing a scalp block with conscious sedation.<\/jats:p>","DOI":"10.1002\/ccr3.72449","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T03:57:26Z","timestamp":1775447846000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Precision Under Pressure: Scalp Block and Dexmedetomidine for Brain Abscess Drainage in a Patient With Complex Cyanotic Heart Disease"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5206-6175","authenticated-orcid":false,"given":"Sandeep","family":"Khatri","sequence":"first","affiliation":[{"name":"Department of Anesthesia Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish Raj","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barsha","family":"Karki","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Poudel","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anish","family":"Sah","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/VHRM.S380240"},{"issue":"43","key":"e_1_2_9_3_1","first-page":"43","article-title":"Atrial Septal Defect and Concomitant Significant Pulmonic Stenosis in an Adult Patient","volume":"10","author":"Temple H.","year":"2022","journal-title":"Southwest Respiratory and Critical Care Chronicles"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1089253217737180"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurop.2022.01.010"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz890"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/jpn.JPN_20_22"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v2.i12.934"},{"issue":"1","key":"e_1_2_9_9_1","first-page":"90","article-title":"Pulmonary Stenosis With Pulmonary Hypertension: A Case Report","volume":"5","author":"Umuerri E.","year":"2015","journal-title":"Nigerian Journal of Clinical Sciences"},{"key":"e_1_2_9_10_1","first-page":"46","article-title":"Anaesthesia for Non\u2010Cardiac Surgery in Children With Congenital Heart Disease","volume":"36","author":"Walker I.","year":"2022","journal-title":"Update in Anaesthesia"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1089253208316442"},{"issue":"4","key":"e_1_2_9_12_1","first-page":"11","article-title":"Anesthetic Management in Patient With Suspected Brain Abscess, Atrium Septal Defect, and Eisenmenger Syndrome","volume":"4","author":"Ahmad Azhari G.","year":"2021","journal-title":"Journal of Health and Medical Sciences"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/NJM.NJM_30_22"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.35975\/apic.v26i6.2004"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpsurg.2025.101803"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/JIR.S346089"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72449","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72449","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72449","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:43:48Z","timestamp":1781253828000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72449"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccr3.72449"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72449","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.177035959.93857588\/v1","asserted-by":"object"}]},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2026-02-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72449"}}