患有先天性心脏病的儿童接受非心脏手术时的麻醉考量
Anaesthetic considerations in children with congenital heart disease undergoing non-cardiac surgery.
作者信息
Menghraj Shahani Jagdish
机构信息
Department of Paediatric Anaesthesia, KK Women's and Children's Hospital, Singapore.
出版信息
Indian J Anaesth. 2012 Sep;56(5):491-5. doi: 10.4103/0019-5049.103969.
Abstract
The objective of this article is to provide an updated and comprehensive review on current perioperative anaesthetic management of paediatric patients with congenital heart disease (CHD) coming for non-cardiac surgery. Search of terms such as "anaesthetic management," "congenital heart disease" and "non-cardiac surgery" was carried out in KKH eLibrary, PubMed, Medline and Google, focussing on significant current randomised control trials, case reports, review articles and editorials. Issues on how to tailor perioperative anaesthetic management on cases with left to right shunt, right to left shunt and complex heart disease are discussed in this article. Furthermore, the author also highlights special considerations such as pulmonary hypertension, neonates with CHD coming for extracardiac surgery and the role of regional anaesthesia in children with CHD undergoing non-cardiac operation.
摘要
本文的目的是对患有先天性心脏病（CHD）且即将接受非心脏手术的小儿患者的围手术期麻醉管理进行更新且全面的综述。在新加坡中央医院电子图书馆、PubMed、医学在线数据库和谷歌中检索了“麻醉管理”“先天性心脏病”和“非心脏手术”等术语，重点关注当前重要的随机对照试验、病例报告、综述文章和社论。本文讨论了如何针对左向右分流、右向左分流和复杂性心脏病病例进行围手术期麻醉管理的问题。此外，作者还强调了一些特殊考虑因素，如肺动脉高压、患有先天性心脏病且即将接受心外手术的新生儿，以及区域麻醉在患有先天性心脏病且接受非心脏手术儿童中的作用。
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