Perioperative Care of Adults with Congenital Heart Disease for Non-cardiac Surgery

Howard‐Quijano, Kimberly; Smith, Michelle I.; Schwarzenberger, Johanna

doi:10.1007/s40140-013-0023-8

Cited by 5 publications

(3 citation statements)

References 28 publications

(22 reference statements)

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“…Broadly, patients with simple CHD lesions may undergo noncardiac surgery at a general hospital. Patients with moderate CHD lesions should be assessed at a specialist center prior to undergoing noncardiac surgery at a general hospital, while those with complex CHD should undergo all nonemergency surgeries at a specialized center 29 …”

Section: Noncardiac Surgerymentioning

confidence: 99%

Adult congenital heart disease and anesthesia: An educational review

Lei

Heggie

2020

Pediatric Anesthesia

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Prognosis has dramatically improved among children with congenital heart disease (CHD), and the median survival for severe CHD is currently 25 years (ie, into adulthood). However, additional cardiac surgeries are often necessary in adults with CHD, whose unique cardiovascular anatomy and physiology necessitate specialized management by experts in adult CHD (ACHD) during the perioperative period. ACHD is characterized by a combination of congenital cardiac lesions, intervention‐related anomalies that have developed over time, comorbidities caused by long‐standing CHD, and comorbidities related to various syndromes and lifestyle factors. The present educational review discusses the transition from pediatric to adult cardiac care, comorbidities that develop as a result of ACHD, the assessments necessary for patients with ACHD prior to both cardiac and noncardiac surgeries, and the key ACHD lesions relevant to perioperative management.

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Section: Noncardiac Surgerymentioning

confidence: 99%

Adult congenital heart disease and anesthesia: An educational review

Lei

Heggie

2020

Pediatric Anesthesia

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“…7 A point system for the risk stratification of a CHD patient before undergoing a procedure was developed by Mossad. 8 This classification factors in variables such as complexity and physiology of cardiac lesion, type and urgency of surgery, age, and the duration of preoperative hospital stay. A patient presenting for noncardiac surgery may have undergone a corrective cardiac surgery, may have a residual cardiac lesion after correction, or may have an uncorrected lesion such as a grown-up with CHD (GUCHD).…”

Section: Congenital Heart Diseasementioning

confidence: 99%

Anesthetic Considerations in Cardiac Patients Undergoing Neurosurgery

Bhatt

Khanna

2019

Journal of Neuroanaesthesiology and Critical Care

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Elective and emergency neurosurgical procedures pose considerable risk in patients with cardiac disease. As the incidence of cardiac disease has increased in the general population over the past few decades, it is imperative to familiarize oneself with the challenges posed and the recommended management guidelines. The eventual outcome is significantly altered by the nature and severity of the underlying cardiac condition, as is the anesthetic management. A well-optimized cardiac condition can reduce morbidity and mortality considerably, which, however, may not be possible in neurosurgical emergencies. This review aims to look at various pathophysiological implications of cardiac disease, against the background of anesthetic management of neurosurgery. The discussion includes assessment and stratification of risk, appropriate investigations indicated, and the plan of anesthetic management. Even though no specific guidelines have been formulated, the discussion is largely to derive from the guidelines for patients with cardiac disease undergoing noncardiac surgery. AbstractKeywords ► anesthetic considerations ► cardiac disease ► neurosurgery

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“…A point system for the risk stratification of a CHD patient before undergoing a procedure was developed by Mossad. [ 10 ] Children and adults with heart disease are at increased risk of mortality and morbidity when undergoing non-cardiac surgery. [ 4 9 ] Risk associated with an individual patient is based on several criteria [ Table 2 ].…”

Section: Risk Assessmentmentioning

confidence: 99%

Congenital heart diseases and anaesthesia

Junghare

Desurkar

2017

Indian J Anaesth

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Patients with congenital heart diseases (CHDs) are at increased risk of developing complications during anaesthesia. Improvements in medical and surgical management in recent decades have resulted in significantly more children with CHD surviving to adulthood. The aim of this article is to focus on broad classification of CHD and to provide an updated review on the current perioperative anaesthetic management of CHD patients in different settings such as (a) interventional cardiac procedures that have dominated the field, (b) uncorrected patients for non-cardiac surgery and (c) corrected patients for non-cardiac surgery. The complexity of the defects along with a variety of non-cardiac surgery makes it impossible to have one single-anaesthesia technique. Search on Ovid, PubMed, Google Scholar and Medline were done with MeSH terms such as ‘congenital heart disease’, ‘cardiac catheterisation’, ‘anaesthetic management’ and ‘non-cardiac surgery’ mainly focusing on review articles and controlled studies for preparing the article.

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Perioperative Care of Adults with Congenital Heart Disease for Non-cardiac Surgery

Cited by 5 publications

References 28 publications

Adult congenital heart disease and anesthesia: An educational review

Adult congenital heart disease and anesthesia: An educational review

Anesthetic Considerations in Cardiac Patients Undergoing Neurosurgery

Congenital heart diseases and anaesthesia

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