Anaesthetic considerations in children with congenital heart disease undergoing non-cardiac surgery

被引：26

作者：

Menghraj, Shahani Jagdish ^{[1
]}

机构：

[1] KK Womens & Childrens Hosp, Dept Paediat Anaesthesia, Singapore, Singapore

来源：

INDIAN JOURNAL OF ANAESTHESIA | 2012年 / 56卷 / 05期

关键词：

Anaesthetic management; congenital heart disease; fontan physiology; left to right shunt; non-cardiac surgery; pulmonary hypertension; regional anaesthesia; right to left shunt;

D O I：

10.4103/0019-5049.103969

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The objective of this article is to provide an updated and comprehensive review on current perioperative anaesthetic management of paediatric patients with congenital heart disease (CHD) coming for non-cardiac surgery. Search of terms such as "anaesthetic management," "congenital heart disease" and "non-cardiac surgery" was carried out in KKH eLibrary, PubMed, Medline and Google, focussing on significant current randomised control trials, case reports, review articles and editorials. Issues on how to tailor perioperative anaesthetic management on cases with left to right shunt, right to left shunt and complex heart disease are discussed in this article. Furthermore, the author also highlights special considerations such as pulmonary hypertension, neonates with CHD coming for extracardiac surgery and the role of regional anaesthesia in children with CHD undergoing non-cardiac operation.

引用

页码：491 / 495

页数：5

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