Abstract
Infants with complex cardiac pathologies appear to have increasing survival rates over years. Thus, anesthesiologists encounter more patients with congenital cardiac disease for any kind of non-cardiac procedures. Non-cardiac procedures can be required before or after cardiac repair but it has to be known that patients with repaired pathologies may still have residual problems. Preoperative assessment of these patients includes knowledge of cardiac anatomy/ pathology, learning surgical history, understanding pathophysiology and investigating presence and severity of symptoms. Despite the anatomic differences in patients with congenital cardiac diseases, the goal of anesthetic management is to optimize oxygenation and ventricular function. In this review, the specific considerations in the perioperative anesthetic management of patients with congenital cardiac disease undergoing non-cardiac surgery are summarized
References
- Sumpelmann R, Osthaus WA. Pediatric cardiac patient presenting for noncardiac surgery. Current Opinion in Anaesthesiology 2007; 20: 216-220.
- Konstadt S. Anesthesia for non-cardiac surgery in the patient with cardiac disease. Canadian Journal of Anaesthesia 2005; 52 (6): R1-R3.
- Yumul R, Emdadi A, Moradi N. Anesthesia for noncardiac surgery in children with congenital heart disease. Seminars in Cardiothoracic and Vascular Anesthesia 2003; 7 (2): 153-65.
- Diaz LK. Anesthesia for non-cardiac surgery and magnetic resonance imaging in the pediatric patient with congenital heart disease. Progress in Anesthesiology 2003; Vol XVII Ch 3: 52-8.
- Baum VC, Barton DM, Gutgesell HP. Influence of congenital heart disease on mortality after noncardiac surgery in hospitalized children. Pediatrics 2000; 105: 332-5.
- American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working GroupPrevention of Infective Endocarditis. Guidelines From the American Heart Association. Circulation 2007; 116: 1736-54.
- Carmosino MJ, Friesen RH, Doran A, Ivy DD. Perioperative complications in children with pulmonary hypertension undergoing noncardiac surgery or cardiac catheterization. Anesth Analg 2007; 104: 521-7.
- Diaz LK, Akpek EA, Dinavahi R, Andropoulos DB. Tracheoesophageal fistula and associated congenital heart disease: implications for anesthetic management and survival. Pediatr Anesth 2005; 15: 862-9.
Abstract
Günümüzde kompleks kardiyak patolojileri olan bebeklerde sağkalım oranlarının arttığı görülmektedir. Bu sebeple, anestezistlerin kardiyak patolojileri olup non-kardiyak herhangi bir sebep ile ameliyat olacak bu hasta grubu ile karşılaşma oranları da gün geçtikçe artmaktadır. Nonkardiyak cerrahi uygulamalar kardiyak tamirden önce veya sonra olabilir, ancak düzeltilmiş konjenital kalp hastalığı durumlarında bile rezidüel problemlerin devam edebildiği bilinmektedir. Preoperatif değerlendirme kardiyak anatomi / patoloji bilgisini, cerrahi hikayenin öğrenilmesini, patofizyolojiyi anlamayı ve semptomların varlığı ile ciddiyetini incelemeyi kapsar. Konjenital kalp hastalıklarında varolan anatomik farklara rağmen anestezi yönetiminde temel hedef hastanın preoperatif durumu ve altta yatan kardiyak fizyolojisine göre oksijenasyonunu ve ventriküler fonksiyonu optimize etmektir. Bu derlemede konjenital kalp hastalığı olan çocukların non-kardiyak girişimleri sırasındaki perioperatif anestezik yaklaşımlarında dikkat edilmesi gereken özellikli durumlar özetlenmiştir
References
- Sumpelmann R, Osthaus WA. Pediatric cardiac patient presenting for noncardiac surgery. Current Opinion in Anaesthesiology 2007; 20: 216-220.
- Konstadt S. Anesthesia for non-cardiac surgery in the patient with cardiac disease. Canadian Journal of Anaesthesia 2005; 52 (6): R1-R3.
- Yumul R, Emdadi A, Moradi N. Anesthesia for noncardiac surgery in children with congenital heart disease. Seminars in Cardiothoracic and Vascular Anesthesia 2003; 7 (2): 153-65.
- Diaz LK. Anesthesia for non-cardiac surgery and magnetic resonance imaging in the pediatric patient with congenital heart disease. Progress in Anesthesiology 2003; Vol XVII Ch 3: 52-8.
- Baum VC, Barton DM, Gutgesell HP. Influence of congenital heart disease on mortality after noncardiac surgery in hospitalized children. Pediatrics 2000; 105: 332-5.
- American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working GroupPrevention of Infective Endocarditis. Guidelines From the American Heart Association. Circulation 2007; 116: 1736-54.
- Carmosino MJ, Friesen RH, Doran A, Ivy DD. Perioperative complications in children with pulmonary hypertension undergoing noncardiac surgery or cardiac catheterization. Anesth Analg 2007; 104: 521-7.
- Diaz LK, Akpek EA, Dinavahi R, Andropoulos DB. Tracheoesophageal fistula and associated congenital heart disease: implications for anesthetic management and survival. Pediatr Anesth 2005; 15: 862-9.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Collection |
| Authors | |
| Publication Date | December 1, 2010 |
| Published in Issue | Year 2010Issue: 4 |