Anaesthesia management for non-cardiac surgery in children with congenital heart disease.
Congenital heart disease (CHD) is the most common form of congenital abnormality and occurs in over 1% of newborns. Approximately 30% of children with CHD have other extra-cardiac anomalies, which significantly increases mortality in CHD patients. It is expected that the number of CHD patients who consult non-specialized hospitals for non-cardiac surgery after palliative or corrective operations will increase because of the extraordinary progression of treatments, such as surgical procedures, interventional procedures, and intensive care medicine, as well as diagnosis. The aim of this article is to enable anaesthesiologists who are not usually engaged in the anaesthesia management of CHD patients to provide perioperative management for CHD patients safely and with confidence by having basic and advanced knowledge about CHD patients and their pathophysiological characteristics.
Department of Paediatric Anaesthesiology and Critical Care Medicine, Sankt Augustin, Germany Asklepios Clinic Sankt Augustin / German Paediatric Heart Centre, Sankt Augustin, Germany. t.yamamoto@asklepios.com.
Tomohiro
T
Yamamoto
Ehrenfried
E
Schindler
D000758:Anesthesia / Q000379:methods*; D002648:Child; D006330:Heart Defects, Congenital / Q000150:complications*; D006801:Humans; D019990:Perioperative Care; D013514:Surgical Procedures, Operative / Q000379:methods*
Fontan and hemi-Fontan circulation; Ohm’s law; anaesthesia; children; congenital heart diseases; extra-cardiac anomalies; pulmonary vascular resistance