Junghare Sandip Waman, Desurkar Vinayak
Dr. D. Y. Patil Medical College Hospital and Research Centre, Pimpri, Maharashtra, India.
Department of Anaesthesia, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
Indian J Anaesth. 2017 Sep;61(9):744-752. doi: 10.4103/ija.IJA_415_17.
Patients with congenital heart diseases (CHDs) are at increased risk of developing complications during anaesthesia. Improvements in medical and surgical management in recent decades have resulted in significantly more children with CHD surviving to adulthood. The aim of this article is to focus on broad classification of CHD and to provide an updated review on the current perioperative anaesthetic management of CHD patients in different settings such as (a) interventional cardiac procedures that have dominated the field, (b) uncorrected patients for non-cardiac surgery and (c) corrected patients for non-cardiac surgery. The complexity of the defects along with a variety of non-cardiac surgery makes it impossible to have one single-anaesthesia technique. Search on Ovid, PubMed, Google Scholar and Medline were done with MeSH terms such as 'congenital heart disease', 'cardiac catheterisation', 'anaesthetic management' and 'non-cardiac surgery' mainly focusing on review articles and controlled studies for preparing the article.
患有先天性心脏病（CHD）的患者在麻醉期间发生并发症的风险会增加。近几十年来，医学和外科治疗手段的改进使得更多患有先天性心脏病的儿童存活至成年。本文旨在聚焦先天性心脏病的广泛分类，并对当前不同情况下先天性心脏病患者围手术期麻醉管理进行更新综述，这些情况包括：（a）主导该领域的心脏介入手术；（b）未矫正的非心脏手术患者；（c）已矫正的非心脏手术患者。由于缺陷的复杂性以及各种非心脏手术，不可能采用单一的麻醉技术。通过使用诸如“先天性心脏病”“心导管插入术”“麻醉管理”和“非心脏手术”等医学主题词在Ovid、PubMed、谷歌学术和Medline上进行检索，主要侧重于综述文章和对照研究来撰写本文。
