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anesthesia for patient with congenital heart disease undergoing non-cardiac surgery

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https://www.readbyqxmd.com/read/26488080/pain-management-with-bilateral-continuous-thoracic-paravertebral-block-in-a-patient-with-fontan-associated-hepatocellular-carcinoma-undergoing-hepatectomy
#1
Akihiko Maeda, Sho C Shibata, Kenta Okitsu, Tatsuyuki Imada, Ayako Takahashi, Akinori Uchiyama, Takahiko Kamibayashi, Yuji Fujino
OBJECTIVE: We report a case of perioperative management of a single-ventricle patient with Fontan-associated liver disease undergoing hepatectomy. CASE REPORT: A 12-year-old boy with Fontan circulation was scheduled for partial hepatectomy to remove a liver mass in segment 6. He received stent implantation to relieve conduit stenosis 6 months before the operation. The operation was performed under general anesthesia and with a bilateral thoracic paravertebral block (PVB)...
November 2015: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/24394941/multivariate-model-for-predicting-postoperative-blood-loss-in-children-undergoing-cardiac-surgery-a-preliminary-study
#2
V Savan, A Willems, D Faraoni, P Van der Linden
BACKGROUND: Postoperative bleeding and blood product transfusion increase morbidity, mortality, and costs after cardiac surgery. However, factors that could accurately predict bleeding have not been well studied in children undergoing cardiac surgery. This study aims at determining factors that could be used to predict postoperative bleeding in this paediatric population. METHODS: We included 182 children undergoing congenital heart surgery. Significant bleeding was defined as a blood loss that exceeds 10% of total blood volume within the first 6 postoperative hours...
April 2014: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/23075473/intraoperative-plasma-lactate-as-an-early-indicator-of-major-postoperative-events-in-pediatric-cardiac-patients
#3
COMPARATIVE STUDY
Seong-Joo Park, Hee-Soo Kim, Hyo-Jin Byon, Chong-Sung Kim, Il-Young Cheong, Jin-Tae Kim
Hyperlactatemia and unmeasured anions (UMA) have been suggested to be useful predictors of outcomes after pediatric cardiac surgery in the ICU. However, if we detect high-risk patient in the operating room, we could practice early intervention to decrease mortality and morbidity. The purpose of this study was to determine whether the intraoperative lactate or UMA levels can predict adverse outcomes in pediatric cardiac patients with undergoing cardiopulmonary bypass (CPB). We studied 102 patients with congenital heart disease...
2012: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/20467877/monitored-anesthesia-care-with-dexmedetomidine-of-a-patient-with-severe-pulmonary-arterial-hypertension-for-inguinal-hernioplasty
#4
Hiromi Shinohara, Kiichi Hirota, Masami Sato, Masahiro Kakuyama, Kazuhiro Fukuda
The presence of severe pulmonary arterial hypertension (PAH) is a significant risk factor of major perioperative cardiovascular complications in patients undergoing even non-cardiac surgery under anesthetic management. The most important aspect of perioperative care of PAH patients is to avoid pulmonary hypertensive crisis, which can be induced by alveolar hypoxia, hypoxemia, hypercarbia, metabolic acidosis, airway manipulations, and activation of the sympathetic nervous system by noxious stimuli. We report a case of successful monitored anesthesia care supplemented by dexmedetomidine for inguinal hernioplasty of a patient with severe PAH secondary to congenital heart disease...
August 2010: Journal of Anesthesia
https://www.readbyqxmd.com/read/19063775/nomenclature-and-databases-for-the-surgical-treatment-of-congenital-cardiac-disease-an-updated-primer-and-an-analysis-of-opportunities-for-improvement
#5
REVIEW
Jeffrey Phillip Jacobs, Marshall Lewis Jacobs, Constantine Mavroudis, Carl Lewis Backer, Francois G Lacour-Gayet, Christo I Tchervenkov, Rodney C G Franklin, Marie J Béland, Kathy J Jenkins, Hal Walters, Emile A Bacha, Bohdan Maruszewski, Hiromi Kurosawa, David Robinson Clarke, J William Gaynor, Thomas L Spray, Giovanni Stellin, Tjark Ebels, Otto N Krogmann, Vera D Aiello, Steven D Colan, Paul Weinberg, Jorge M Giroud, Allen Everett, Gil Wernovsky, Martin J Elliott, Fred H Edwards
This review discusses the historical aspects, current state of the art, and potential future advances in the areas of nomenclature and databases for the analysis of outcomes of treatments for patients with congenitally malformed hearts. We will consider the current state of analysis of outcomes, lay out some principles which might make it possible to achieve life-long monitoring and follow-up using our databases, and describe the next steps those involved in the care of these patients need to take in order to achieve these objectives...
December 2008: Cardiology in the Young
https://www.readbyqxmd.com/read/18040938/-anesthesia-for-patients-with-congenital-heart-disease-undergoing-non-cardiac-surgery
#6
REVIEW
Johanna C Schwarzenberger, Wiebke Gogarten
An increasing number of children who have undergone corrective surgery for congenital heart disease (CHD) reach adulthood every year. These survivors defy commonly used classification schemes for adults undergoing non-cardiac surgery. Due to lack of data, the risk-benefit assessment for undergoing non-cardiac interventions must be individualized. An interdisciplinary team approach is the corner stone for the safe delivery of anesthesia to this patient population. This review is meant to equip the anesthesiologist with the necessary tools for the safe perioperative sailing of his patient suffering from CHD...
November 2007: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/18039408/analysis-of-outcomes-for-congenital-cardiac-disease-can-we-do-better
#7
REVIEW
Jeffrey P Jacobs, Gil Wernovsky, Martin J Elliott
This review discusses the historical aspects, current state of the art, and potential future advances in the areas of nomenclature and databases for the analysis of outcomes of treatments for patients with congenitally malformed hearts. We will consider the current state of analysis of outcomes, lay out some principles which might make it possible to achieve life-long monitoring and follow-up using our databases, and describe the next steps those involved in the care of these patients need to take in order to achieve these objectives...
September 2007: Cardiology in the Young
https://www.readbyqxmd.com/read/16898853/anesthesia-and-postoperative-analgesia-in-pediatric-patients-undergoing-cardiac-surgery
#8
REVIEW
Laura K Diaz
Pediatric cardiac anesthesiologists care for patients ranging from premature infants weighing <2 kg to adults requiring surgical intervention for congenital heart disease. Along with their cardiac pathophysiologies, many of these patients also have other co-existing diseases that can affect their anesthetic management. Recent advances in monitoring include non-invasive neuromonitors, such as near-infrared spectroscopy and trans-cranial Doppler, which are assuming increasing importance in intraoperative management, particularly during cardiopulmonary bypass...
2006: Paediatric Drugs
https://www.readbyqxmd.com/read/12768185/-anesthesia-for-non-cardiac-surgery-in-children-with-congenital-heart-diseases
#9
REVIEW
G Frascaroli, A Fucà, S Buda, G Gargiulo, C Pace
The incidence of congenital heart diseases accounts for 8-10 over 1000 liveborn. In Italy about 4000-4500 babies each year are born with congenital heart diseases; 50% of those babies (2000-2200) need cardiac surgery shortly after birth or within the first few months of life. Of the remaining 50%, half undergoes cardiac surgery later on in life and half does not necessitate any surgery; 30% of all cardiac operations consist of palliative procedures and the remaining 70% consist of one-stage corrective procedures...
May 2003: Minerva Anestesiologica
https://www.readbyqxmd.com/read/12606905/risk-factors-for-adverse-postoperative-outcomes-in-children-presenting-for-cardiac-surgery-with-upper-respiratory-tract-infections
#10
Shobha Malviya, Terri Voepel-Lewis, Monica Siewert, Uma A Pandit, Lori Q Riegger, Alan R Tait
BACKGROUND: Otherwise healthy children who present for elective surgery with an upper respiratory infection (URI) may be at risk for perioperative respiratory complications. This risk may be increased in children with congenital heart disease who undergo cardiac surgery while harboring a URI because of their compromised cardiopulmonary status. Therefore, this study was designed to determine the incidence of peri- and postoperative complications in children undergoing cardiac surgery while harboring a URI...
March 2003: Anesthesiology
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