Key result
Perioperative anesthetic management aimed at avoiding pulmonary hypertensive crisis is essential for optimizing outcomes in children with pulmonary hypertension secondary to congenital heart disease.
Why the study?
Pediatric pulmonary hypertension secondary to congenital heart disease carries high morbidity and mortality, making proper preoperative evaluation and perioperative anesthetic management critical to prevent pulmonary hypertensive crisis.
Meticulous perioperative anesthetic management and targeted pulmonary vasodilator therapy are critical to preventing fatal pulmonary hypertensive crises in children with congenital heart disease.
Supports crisis avoidance in pediatric PH-CHD anesthesia; leaves open prospective trials to define optimal protocols.
Pediatric pulmonary hypertension (PH) is associated with many cardiovascular, and pulmonary diseases that result in a high risk of morbidity and mortality. The cause of PH in children is mainly due to congenital heart disease (CHD). The proper preoperative evaluation and the accurate anesthetic management are essential to obtain the best outcome. The perioperative anesthetic goal is directed to avoid pulmonary hypertensive crisis which is associated with poor outcome in children with PH secondary to CHD undergoing cardiopulmonary bypass. The purpose of this review is to discuss the pathophysiology of PH in children with CHD and to show how to avoid and manage the perioperative pulmonary hypertensive crisis.
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Ibrahim I Abd El Baser (2020) conducted a review in Pulmonary hypertension in pediatric cardiac surgery. Perioperative management strategies was evaluated. Perioperative anesthetic management aimed at avoiding pulmonary hypertensive crisis is essential for optimizing outcomes in children with pulmonary hypertension secondary to congenital heart disease.
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