Scribd
Upload
54 views1 page

First Page PDF

This chapter discusses anesthesia considerations for noncardiac surgery in children with congenital heart disease. It covers preoperative assessment including medical history, exams, testing and informed consent. Intraoperative management, monitoring, techniques and agents are addressed. Postoperative care and special perioperative problems are also discussed for a variety of specific congenital heart defects. Advances in cardiology and surgery have improved survival for children with heart defects, many of whom require noncardiac surgeries and must be carefully managed by anesthesiologists.

Uploaded by

Ruval Phenex
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
54 views1 page

First Page PDF

This chapter discusses anesthesia considerations for noncardiac surgery in children with congenital heart disease. It covers preoperative assessment including medical history, exams, testing and informed consent. Intraoperative management, monitoring, techniques and agents are addressed. Postoperative care and special perioperative problems are also discussed for a variety of specific congenital heart defects. Advances in cardiology and surgery have improved survival for children with heart defects, many of whom require noncardiac surgeries and must be carefully managed by anesthesiologists.

Uploaded by

Ruval Phenex
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Anesthesia for Noncardiac

Surgery in Children with


Congenital Heart Disease
CHAPTER 21
Wanda C. Miller-Hance

Preoperative Assessment Anticoagulation


History and Physical Examination Conduction Disturbances and Arrhythmias
Ancillary Studies and Laboratory Data Pacemakers and Implantable
Informed Consent Cardioverter-Defibrillators
Fasting Guidelines Nerve Palsies
Medications Eisenmenger Syndrome
Intraoperative Management Post–Cardiac Transplant Recipients
General Considerations Perioperative Stress Response
Monitoring Outcomes of Noncardiac Surgery
Selection of Techniques and Agents Specific Congenital Heart Defects
Induction of Anesthesia Atrial Septal Defects
Maintenance of Anesthesia Ventricular Septal Defects
Emergence from Anesthesia Atrioventricular Septal Defects
Postoperative Care Right Ventricular Outflow Tract Obstruction
Perioperative Problems and Special Considerations Left Ventricular Outflow Tract Obstruction
Hypotension Patent Ductus Arteriosus
Cyanosis Coarctation of the Aorta
Tetralogy Spells Tetralogy of Fallot
Congestive Heart Failure D-Transposition of the Great Arteries
Ventricular Dysfunction Congenitally Corrected Transposition of the Great
Arteries
Ventricular Pressure Overload
Truncus Arteriosus
Ventricular Volume Overload
Ebstein Anomaly
Myocardial Ischemia
Interrupted Aortic Arch
Altered Respiratory Mechanics
Congenital Anomalies of the Coronary Arteries
Pulmonary Hypertension and Increased Pulmonary
Vascular Resistance Single Ventricle
Infective Endocarditis Summary
Systemic Air Embolization

OVER THE PAST SEVERAL decades significant advances in diagnostic liated and “repaired” children with CHD will need to undergo
and interventional cardiology, surgical techniques, cardiopul- noncardiac surgery or other procedures unrelated to their heart
monary bypass, anesthetic management, and critical care have disease. Because children with CHD are operated on at earlier
dramatically altered the natural history of congenital heart and earlier ages, this group represents the majority of children
disease (CHD). The net result of these refinements has been a with CHD that an anesthesiologist would most likely encounter
decrease in morbidity and mortality in affected children and during elective or emergent noncardiac surgery. In some cases,
improved quality of life. As life expectancy continues to increase children may require noncardiac surgery before undergoing
and survival rates further improve, an escalating number of pal- procedures to repair their cardiovascular pathology. In others,

465

You might also like