Key result
Review details perioperative physiology and cardiac management in children undergoing noncardiac surgery.
Why the study?
Children with congenital and acquired heart disease undergoing noncardiac surgery have elevated perioperative morbidity and mortality and present challenges due to heterogeneous cardiac physiology.
This review provides educational guidance for general pediatric practitioners on the perioperative care of children with congenital and acquired heart disease undergoing non-cardiac surgery.
May warrant enhanced perioperative protocols in these patients; leaves open optimal strategies pending prospective trials.
Children with congenital and acquired heart disease are at elevated risk for perioperative morbidity and mortality. These patients have high rates of coexisting conditions that necessitate noncardiac surgical procedures, some of which may occur outside of centers with specific expertise in pediatric cardiac care. The heterogeneity of anatomic and physiologic states in congenital heart disease presents a challenge to clinicians caring for these patients. This article aims to educate the general pediatric practitioner on the cardiac physiology associated with high-risk categories of congenital and acquired heart disease and the implications for perioperative care.
No takes yet. Share an insight, caveat, or question.
Sandler et al. (2026) conducted a review in Congenital and acquired heart disease. Perioperative care was evaluated. This review outlines the cardiac physiology and perioperative care implications for children with congenital and acquired heart disease undergoing noncardiac surgical procedures.
Synapse has enriched 5 related papers. Consider them for comparative context: