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- Title
Anaesthesia in children with congenital heart disease for non-cardiac surgery.
- Authors
Raviraj, Divya; White, Michelle. C.
- Abstract
There is an increasing prevalence of children with congenital heart disease (CHD) presenting for non cardiac surgery due to advances in modern medicine which means more children with CHD are surviving for longer and are thus exposed to the usual illnesses and injuries of childhood. The complex nature of some cardiac lesions, and the frequent association of CHD with other congenital abnormalities means that the perioperative care of these children presents unique challenges for the anaesthetist. This article aims to review the perioperative considerations of children with CHD presenting for non-cardiac surgery. We provide a classification of CHD based on physiology, identify important factors for consideration during risk stratification and discuss an evidence-based approach to perioperative management.
- Subjects
HEART anatomy; PERIOPERATIVE care; ELECTIVE surgery; INHALATION anesthetics; PROPOFOL; ANESTHESIA; SURGICAL anastomosis; INTRAVENOUS therapy; CENTRAL venous pressure; OPERATIVE surgery; PULMONARY hypertension; CONGENITAL heart disease; EVIDENCE-based medicine; RISK assessment; NURSE anesthetists; HEART ventricles; BLOOD circulation; CYANOSIS; ELECTROCARDIOGRAPHY; SEVOFLURANE; KETAMINE; ARRHYTHMIA; OPIOID analgesics; HEART diseases; ISOFLURANE; CHILDREN
- Publication
Update in Anaesthesia, 2023, Vol 37, p60
- ISSN
1353-4882
- Publication type
Article
- DOI
10.1029/WFSA-D-20-00004