title: Pediatric cardiac anesthesia in the developing world.
abstract: More children die of congenital heart disease (CHD) in low-income countries and acquired cardiac disease is more frequent. Advances in diagnosis, surgery, perfusion and anesthesia in the developed world have had dramatic results on children's lives, and many forms of CHD can now be safely corrected or palliated. However, in developing countries, for the children who receive cardiac surgery, perioperative mortality and morbidity remain high. Pediatric cardiac anesthesia is a specialty in its infancy worldwide, and in developing countries, it is often nonexistent. Visiting 'specialists' as part of medical mission teams often provides anesthesia, but the hope for the future is that local staff will be trained in pediatric cardiac anesthesia and collaborative regional cardiac centers will be the mainstay of care, offering safer surgery to more children.
authors.affiliation: Department of Anaesthesia and Pain Medicine, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada. catherinedoccers@yahoo.co.uk
authors.forename: Catherine
authors.initials: C
authors.lastname: Doherty
authors.forename: Helen
authors.initials: H
authors.lastname: Holtby
mesh_terms: D000758:Anesthesia / Q000639:trends*; D000776:Anesthesiology / Q000295:instrumentation / Q000639:trends*; D006348:Cardiac Surgical Procedures; D002648:Child; D003906:Developing Countries; D006801:Humans; D010372:Pediatrics / Q000639:trends*; D019990:Perioperative Care; D011182:Postoperative Care