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我们应该如何护理在门诊环境中接受外科手术的先天性心脏病患者?

How Should We Care for Patients with Congenital Heart Diseases Undergoing Surgical Procedures in Ambulatory Settings?

作者信息

Hamilton Rebecca, Odegard Kirsten C, Yuki Koichi

机构信息

Cardiac Anesthesia Division, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA.

出版信息

Transl Perioper Pain Med. 2022;9(1):416-420.

PMID:35296038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8920386/
Abstract

Congenital heart diseases (CHDs) are the most common of all congenital birth anomalies. As the survival of patients with CHDs continues to improve, this patient population is presenting for non-cardiac procedures more frequently than in the past. With ambulatory based procedures becoming increasingly common, it is critical to consider how we should best triage these patients for procedures in ambulatory settings. This paper reviews the current literature on the subject and considers strategies to guide future management.

摘要

先天性心脏病(CHD)是所有先天性出生缺陷中最常见的。随着先天性心脏病患者的生存率不断提高,这一患者群体接受非心脏手术的频率比过去更高。随着门诊手术越来越普遍,至关重要的是要考虑如何在门诊环境中对这些患者进行最佳的手术分类。本文回顾了关于该主题的当前文献,并考虑了指导未来管理的策略。

相似文献

1
How Should We Care for Patients with Congenital Heart Diseases Undergoing Surgical Procedures in Ambulatory Settings?我们应该如何护理在门诊环境中接受外科手术的先天性心脏病患者?
Transl Perioper Pain Med. 2022;9(1):416-420.
2
Perinatal Cardiovascular Physiology and Recognition of Critical Congenital Heart Defects.围产期心血管生理学与严重先天性心脏病的识别
Clin Perinatol. 2021 Aug;48(3):573-594. doi: 10.1016/j.clp.2021.05.008.
3
Congenital heart diseases in aged patients: clinical features, diagnosis, and therapeutic indications based on the analysis of a twenty five-year Medline search.老年患者的先天性心脏病:基于25年医学文献数据库检索分析的临床特征、诊断及治疗指征
Cardiol Rev. 2005 Nov-Dec;13(6):293-6. doi: 10.1097/01.crd.0000145928.08280.ef.
4
Providing value in ambulatory anesthesia.提供门诊麻醉的价值。
Curr Opin Anaesthesiol. 2015 Dec;28(6):617-22. doi: 10.1097/ACO.0000000000000255.
5
Congenital Heart Defects in Nigerian Children: Preliminary Data From the National Pediatric Cardiac Registry.尼日利亚儿童的先天性心脏病:国家儿科心脏登记处的初步数据。
World J Pediatr Congenit Heart Surg. 2017 Nov;8(6):699-706. doi: 10.1177/2150135117725457.
6
[Congenital heart defects in the Valencian Community 2007-2014: The Population-Based Registry Of Congenital Anomalies].[2007 - 2014年巴伦西亚自治区的先天性心脏缺陷:基于人群的先天性异常登记处]
An Pediatr (Engl Ed). 2020 Jan;92(1):13-20. doi: 10.1016/j.anpedi.2018.12.019. Epub 2019 May 20.
7
Surgical Interventions in Infants Born Preterm with Congenital Heart Defects: An Analysis of the Kids' Inpatient Database.对患有先天性心脏病的早产儿进行的外科干预:儿童住院数据库分析
J Pediatr. 2017 Dec;191:103-109.e4. doi: 10.1016/j.jpeds.2017.07.015. Epub 2017 Sep 28.
8
Unanticipated hospital admission in pediatric patients with congenital heart disease undergoing ambulatory noncardiac surgical procedures.患有先天性心脏病的儿科患者在接受非心脏门诊手术过程中意外住院。
Paediatr Anaesth. 2018 Jul;28(7):607-611. doi: 10.1111/pan.13388. Epub 2018 May 18.
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Genetic Evaluation and Use of Chromosome Microarray in Patients with Isolated Heart Defects: Benefits and Challenges of a New Model in Cardiovascular Care.孤立性心脏缺陷患者的染色体微阵列基因评估和应用:心血管护理新模式的获益与挑战。
Front Cardiovasc Med. 2016 Jun 14;3:19. doi: 10.3389/fcvm.2016.00019. eCollection 2016.
10
The role of microRNAs in congenital heart disease.微小RNA在先天性心脏病中的作用。
EJIFCC. 2019 Jun 24;30(2):165-178. eCollection 2019 Jun.

本文引用的文献

1
Trends in mortality rate in patients with congenital heart disease undergoing noncardiac surgical procedures at children's hospitals.儿童医院行非心脏手术的先天性心脏病患者死亡率趋势。
Sci Rep. 2021 Jan 15;11(1):1543. doi: 10.1038/s41598-021-81161-3.
2
Unanticipated hospital admission in pediatric patients with congenital heart disease undergoing ambulatory noncardiac surgical procedures.患有先天性心脏病的儿科患者在接受非心脏门诊手术过程中意外住院。
Paediatr Anaesth. 2018 Jul;28(7):607-611. doi: 10.1111/pan.13388. Epub 2018 May 18.
3
Incidence and Risk Factors for Perioperative Cardiovascular and Respiratory Adverse Events in Pediatric Patients With Congenital Heart Disease Undergoing Noncardiac Procedures.先天性心脏病患儿非心脏手术围术期心血管和呼吸系统不良事件的发生率及危险因素。
Anesth Analg. 2018 Sep;127(3):724-729. doi: 10.1213/ANE.0000000000003406.
4
Post-Operative Outcomes in Children With and Without Congenital Heart Disease Undergoing Noncardiac Surgery.先天性心脏病患儿与非心脏病患儿行非心脏手术后的术后结局。
J Am Coll Cardiol. 2016 Feb 23;67(7):793-801. doi: 10.1016/j.jacc.2015.11.057.
5
Decentralization of care for adults with congenital heart disease in the United States: a geographic analysis of outpatient surgery.美国先天性心脏病成人患者护理的去中心化:门诊手术的地理分析
PLoS One. 2014 Sep 23;9(9):e106730. doi: 10.1371/journal.pone.0106730. eCollection 2014.
6
Endothelial cells translate pathogen signals into G-CSF-driven emergency granulopoiesis.内皮细胞将病原体信号转化为粒细胞集落刺激因子驱动的应急粒细胞生成。
Blood. 2014 Aug 28;124(9):1393-403. doi: 10.1182/blood-2014-04-570762. Epub 2014 Jul 2.
7
Predictors of unanticipated admission following ambulatory surgery: a retrospective case-control study.门诊手术后非预期住院的预测因素:一项回顾性病例对照研究。
Can J Anaesth. 2013 Jul;60(7):675-83. doi: 10.1007/s12630-013-9935-5. Epub 2013 Apr 19.
8
Adult congenital heart disease: past, present, and future.成人先天性心脏病:过去、现在与未来。
Tex Heart Inst J. 2011;38(6):705-6.
9
Anesthetic management of noncardiac surgery for patients with single ventricle physiology.单心室生理学患者非心脏手术的麻醉管理。
J Anesth. 2011 Apr;25(2):247-56. doi: 10.1007/s00540-010-1081-4. Epub 2011 Jan 1.
10
Epidemiology of ambulatory anesthesia for children in the United States: 2006 and 1996.美国小儿门诊麻醉的流行病学:2006 年与 1996 年。
Anesth Analg. 2010 Oct;111(4):1011-5. doi: 10.1213/ANE.0b013e3181ee8479. Epub 2010 Aug 27.