Abbas Syed Muhammad, Rashid Abdul, Latif Hammad
Department of Cardiac Anaesthesia and Intensive Care Units, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia.
J Pak Med Assoc. 2012 Feb;62(2):159-63.
Management of children with congenital heart disease has been a great challenge for anaesthesiologists especially during cardiac catheterization. General anaesthesia with positive pressure ventilation can alter the intra-cardiac pressures as well as shunt fraction. Therefore deep sedation with pain free and spontaneously breathing patient on room air is preferred by the cardiac interventionist. A wide variety of drug regimens have been used for both general anaesthesia and monitored anaesthesia care. We reviewed the most common drugs used during the last 50 years for this procedure. The advent of new drugs has given better control on the level and duration of sedation with decreased untoward effects. A complete understanding of pathophysiology of the disease as well as the effects of intervention in a particular individual can provide a safe anaesthetic management.
对于麻醉医生来说，先天性心脏病患儿的管理一直是一项巨大的挑战，尤其是在心脏导管插入术期间。正压通气的全身麻醉会改变心内压力以及分流分数。因此，心脏介入医生更倾向于对患者进行深度镇静，使其无痛且能在室内空气中自主呼吸。全身麻醉和监护麻醉护理都使用了各种各样的药物方案。我们回顾了过去50年中用于该手术的最常见药物。新药的出现能更好地控制镇静的程度和持续时间，同时减少不良反应。对疾病病理生理学以及特定个体干预效果的全面了解可以提供安全的麻醉管理。
