title: Perioperative management of pediatric patients on mechanical cardiac support.
abstract: The population of children with end-stage heart failure requiring mechanical circulatory support is growing. These children present for diagnostic imaging studies, various interventions and noncardiac surgical procedures that require anesthetic care. This article is a review of the population demographics of children on mechanical cardiac support, the alternative devices available, and the important concepts for safe perioperative management of these patients. The discussion will be limited to devices for short- and long-term cardiac support, excluding extracorporeal membrane oxygenation (ECMO) for respiratory support.
authors.affiliation: Division of Pediatric Cardiovascular Anesthesia, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, Houston, TX 77030, USA. ebmossad@texaschildrenshospital.org
authors.forename: Emad B
authors.initials: EB
authors.lastname: Mossad
authors.forename: Pablo
authors.initials: P
authors.lastname: Motta
authors.forename: Joseph
authors.initials: J
authors.lastname: Rossano
authors.forename: Brittani
authors.initials: B
authors.lastname: Hale
authors.forename: David L
authors.initials: DL
authors.lastname: Morales
mesh_terms: D022561:Advanced Cardiac Life Support / Q000295:instrumentation*; D000758:Anesthesia; D006348:Cardiac Surgical Procedures; D002648:Child; D002675:Child, Preschool; D015199:Extracorporeal Membrane Oxygenation; D006333:Heart Failure / Q000628:therapy; D006354:Heart, Artificial; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007430:Intraoperative Care; D018579:Patient Selection; D019990:Perioperative Care / Q000379:methods*