Department of Anesthesiology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA.
US Anesthesia Partners, Denver, Colorado, USA.
Paediatr Anaesth. 2024 Nov;34(11):1119-1129. doi: 10.1111/pan.14971. Epub 2024 Aug 2.
Patients with congenital heart disease are living longer due to improved medical and surgical care. Congenital heart disease encompasses a wide spectrum of defects with varying pathophysiology and unique anesthetic challenges. These patients often present for noncardiac surgery before or after surgical repair and are at increased risk for perioperative morbidity and mortality. Although there is no singular safe anesthetic technique, identifying potential error traps and tailoring perioperative management may help reduce morbidity and mortality. In this article, we discuss five error traps based on the collective experience of the authors. These error traps can occur when providing perioperative care to patients with congenital heart disease for noncardiac surgery and we present potential solutions to help avoid adverse outcomes.
由于医疗和外科护理水平的提高，患有先天性心脏病的患者寿命得以延长。先天性心脏病涵盖了广泛的缺陷类型，具有不同的病理生理学和独特的麻醉挑战。这些患者通常在手术修复前后接受非心脏手术，围手术期发病率和死亡率增加。虽然没有单一安全的麻醉技术，但确定潜在的错误陷阱并调整围手术期管理可能有助于降低发病率和死亡率。在本文中，我们根据作者的集体经验讨论了五个错误陷阱。在为接受非心脏手术的先天性心脏病患者提供围手术期护理时，可能会出现这些错误陷阱，我们提出了一些潜在的解决方案来帮助避免不良后果。
