Anesthesia considerations for children with pulmonary hypertension.
Children with pulmonary arterial hypertension undergoing anesthesia pose a challenge. The prevalence of morbidity and mortality in this subgroup is substantially greater than that in the general population. In this article, we attempt to describe the adverse events that occur and also identify some of the factors that may precipitate them. We also suggest mechanisms to attenuate or prevent these crises.
Shukla
Avinash C
AC
Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Harvard Medical School, Boston, MA, USA. avinash.shukla@childrens.harvard.edu
Almodovar
Melvin C
MC
D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006323:Heart Arrest / Q000209:etiology; D006330:Heart Defects, Congenital / Q000150:complications / Q000401:mortality; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000401:mortality / Q000503:physiopathology; D007223:Infant; D008991:Monitoring, Physiologic; D011183:Postoperative Complications / Q000517:prevention & control; D011292:Premedication; D012307:Risk Factors