Anesthesia for children with pericardial effusion: a case series

Abstract

Anesthesia for pericardial effusion in children was associated with an adverse physiological event in one-third of children. Major complications may be predicted by preoperative tachypnoea and cardiac tamponade on preoperative ECHO, and all complications may be predicted by preoperative hypoxia. The anesthetic technique included a variety of induction agents, and we cannot recommend a particular approach.

Minimally invasive transxiphoid approach for management of pediatric cardiac tamponade - one center's experience.

“…Good early results and minimal trauma related to miniinvasive techniques enabled early extubation and, simultaneously with planned anesthesia, weaning the patients off mechanical ventilation, with no complaints from the patients that could be related to the subxiphoid approach. That corresponds with available contemporary literature reports and emphasis evolving role of miniinvasive techniques in selected group of patients [ 11 – 15 ]. In patients with a previous history the procedure was the turning point for continuation of therapy, as well as for precise histopathological diagnosis and subsequent modification of the further strategy of care [ 5 , 16 , 17 ].…”

Case series: deep sedation for paedatric patients with pericardial effusion

“…In 2012, Rawlinson and Bagshaw stated that anaesthesia in paediatric patients with pericardial effusion was associated with unfavourable physiological changes and the occurrence of major side effects. 6 Medical procedures done as therapy are surgical intervention in which most patients underwent general anaesthesia with endotracheal tube intubation. Ketamine is commonly used as an induction agent.…”