Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, Houston, TX 77030, USA.
Department of Anesthesia, Stanford University Medical Center, 300 Pasteur Drive, Room H3580, MC 5640, Stanford, CA 94304, USA.
Anesthesiol Clin. 2020 Sep;38(3):531-543. doi: 10.1016/j.anclin.2020.04.001. Epub 2020 Jul 16.
Children and adults with congenital heart disease undergoing noncardiac surgery are at higher risk of perioperative adverse events. Patients have significant comorbidities and syndromic associations that increase perioperative risk further. The complexity of congenital heart disease requires a thorough understanding of lesion-specific pathophysiology in order to provide safe care. Comprehensive multidisciplinary planning and the use of skilled and experienced teams achieve the best outcomes. The anesthesiologist is a perioperative physician charged with providing safe anesthesia care, instituting appropriate hemodynamic monitoring, and determining appropriate postoperative disposition on an individual basis.
患有先天性心脏病的儿童和成人在接受非心脏手术时，围手术期发生不良事件的风险更高。这些患者存在严重的合并症和综合征，这进一步增加了围手术期的风险。先天性心脏病的复杂性要求深入了解特定病变的病理生理学，以便提供安全的护理。全面的多学科规划和熟练且经验丰富的团队的使用可实现最佳的结果。麻醉医师是围手术期医师，负责提供安全的麻醉护理，实施适当的血流动力学监测，并根据个体情况确定适当的术后处置。
