Schwarzenberger Johanna C, Gogarten Wiebke
College of Physicians & Surgeons, Columbia University in New York, NY, USA.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2007 Nov;42(11):822-32. doi: 10.1055/s-2007-1003596.
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.
每年都有越来越多接受过先天性心脏病（CHD）矫正手术的儿童长大成人。这些幸存者不符合针对接受非心脏手术的成年人常用的分类方案。由于缺乏数据，对于接受非心脏干预的风险效益评估必须因人而异。跨学科团队方法是为这一患者群体安全实施麻醉的基石。本综述旨在为麻醉医生提供必要工具，以便其为患有CHD的患者在围手术期安全保驾护航。
