Seal Robert
Department of Anesthesia and Pain Medicine, University of Alberta and Stollery Children's Hospital, Edmonton, AB, Canada.
Paediatr Anaesth. 2011 May;21(5):615-22. doi: 10.1111/j.1460-9592.2011.03591.x.
For a decade now, it has been recognized that optimal management of adult congenital heart disease (ACHD) requires a skilled multidisciplinary team. The size and complexity of the population of adults with congenital heart disease (CHD) are increasing. This article reviews the general considerations for giving an anesthetic to an adult with CHD for cardiac or noncardiac surgery and provides further elaboration for a variety of complex patient types. Lastly, the advantages of an organized multidisciplinary approach to patients with ACHD are discussed.
十年来，人们已经认识到，成人先天性心脏病（ACHD）的最佳管理需要一个技术娴熟的多学科团队。先天性心脏病（CHD）成人患者的数量和病情复杂性都在增加。本文回顾了为患有CHD的成人进行心脏或非心脏手术麻醉的一般注意事项，并针对各种复杂患者类型进行了进一步阐述。最后，讨论了对ACHD患者采用有组织的多学科方法的优势。
