Key result
Review details CHD pathophysiology to enable safe perioperative anesthesia during non-cardiac surgery.
Why the study?
The increasing number of children with congenital heart disease undergoing non-cardiac surgery in non-specialized hospitals requires safe and confident perioperative anaesthesia management by general anaesthesiologists.
Provides basic and advanced knowledge for anaesthesiologists to safely manage perioperative care for children with congenital heart disease undergoing non-cardiac surgery.
Non-specialized hospitals should anticipate more repaired CHD patients for non-cardiac procedures; leaves open optimal risk-stratification protocols.
Congenital heart disease (CHD) is the most common form of congenital abnormality and occurs in over 1% of newborns. Approximately 30% of children with CHD have other extra-cardiac anomalies, which significantly increases mortality in CHD patients. It is expected that the number of CHD patients who consult non-specialized hospitals for non-cardiac surgery after palliative or corrective operations will increase because of the extraordinary progression of treatments, such as surgical procedures, interventional procedures, and intensive care medicine, as well as diagnosis. The aim of this article is to enable anaesthesiologists who are not usually engaged in the anaesthesia management of CHD patients to provide perioperative management for CHD patients safely and with confidence by having basic and advanced knowledge about CHD patients and their pathophysiological characteristics.
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Yamamoto et al. (2016) conducted a review in Congenital heart disease. Anaesthesia management was evaluated. This review provides basic and advanced knowledge on the pathophysiological characteristics of congenital heart disease to enable safe perioperative anaesthesia management during non-cardiac surgery.
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