Department of Anesthesiology, Fuwai Yunnan Cardiovascular Hospital, Affiliated Cardiovascular Hospital of Kunming Medical University, Kunming 650000, China.
Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 10037, China.
J Interv Cardiol. 2021 Jan 30;2021:8861461. doi: 10.1155/2021/8861461. eCollection 2021.
The goal of this study was to summarize anesthesia management for pediatrics with congenital heart diseases who undergo cardiac catheterization procedure in China.
The relevant articles were identified through computerized searches in the CNKI, Wanfang, VIP, and PubMed databases through May 2020, using different combinations of keywords: "congenital heart diseases," "pediatric," "children," "anesthesia," "cardiac catheterization," "interventional therapy," "interventional treatment," "interventional examination," and "computed tomography."
The database searches identified 48 potentially qualified articles, of which 25 (9,738 patients in total) were determined to be eligible and included. The authors collect data from the article information. Anesthesia methods included endotracheal intubation or laryngeal mask ventilation general anesthesia, monitored anesthesia care, and combined with sacral canal block. Anesthesia-related complications occurred in 7.41% of the patients and included dysphoria, respiratory depression, nausea, vomiting, cough, increased respiratory secretion, and airway obstruction. The incidence of procedure-related complications was 12.14%, of which the most common were arrhythmia and hypotension.
For pediatric patients with congenital heart diseases who undergo cardiac catheterization procedures in China, arrhythmia and hypotension are the most common procedure-related complications. Monitored anesthesia care is the commonly used anesthesia methods, and dysphoria, cough, nausea, vomiting, and respiratory depression are frequent complications associated with anesthesia.
总结中国先天性心脏病患儿行心导管术的麻醉管理。
计算机检索中国知网、万方、维普及 PubMed 数据库，检索时限均为 2020 年 5 月前，英文检索词为“congenital heart diseases”“pediatric”“children”“anesthesia”“cardiac catheterization”“interventional therapy”“interventional treatment”“interventional examination”和“computed tomography”，中文检索词为“先天性心脏病”“小儿”“儿童”“麻醉”“心导管术”“介入治疗”“介入疗法”“介入检查”和“CT 检查”，组合查询文献。
共检出 48 篇可能符合标准的文献，最终纳入 25 篇文献，共计 9738 例患儿。纳入文献的作者提取资料，患儿麻醉方法包括气管插管或喉罩通气全身麻醉、监测麻醉管理及联合骶管阻滞，麻醉相关并发症发生率为 7.41%，包括烦躁、呼吸抑制、恶心、呕吐、咳嗽、呼吸分泌物增多和气道梗阻；与操作相关的并发症发生率为 12.14%，其中最常见的是心律失常和低血压。
中国行心导管术的先天性心脏病患儿中，心律失常和低血压是最常见的操作相关并发症，监测麻醉管理是常用的麻醉方法，烦躁、咳嗽、恶心、呕吐和呼吸抑制是常见的麻醉相关并发症。
