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Chapter 20 - General Principles and Conduct of Paediatric Cardiac Anaesthesia

from Section 4 - Paediatric Cardiac Surgery

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Congenital heart disease (CHD) occurs in approximately 8:1,000 live births and may be associated with recognizable syndromes or chromosomal abnormalities in 25% of cases. Abnormalities are often complex, affecting structure and function. Surgery may be corrective or palliative and can be staged. Over half of these operations occur in the first year of life. The timing of surgery is dictated by the severity of the lesion, the need to avoid the development of pulmonary vascular disease or the complications of cyanotic heart disease.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

Davis, PJ, Cladis, FP (eds.). Smith’s Anesthesia for Children and Infants, 9th edn. Philadelphia, PA: Elsevier; 2016.Google Scholar
Durandy, Y. Warm pediatric cardiac surgery: European experience. Asian Cardiovasc Thorac Ann 2010; 18: 386–95.Google Scholar
Goldman, AP, Delius, RE, Deanfield, JE, Macrae, DJ. Nitric oxide is superior to prostacyclin for pulmonary hypertension after cardiac operations. Ann Thorac Surg 1995; 60: 300–6.Google Scholar
Hirsch, JC, Charpie, JR, Ohye, RG, Gurney, JG. Near-infrared spectroscopy: what we know and what we need to know – a systematic review of the congenital heart disease literature. J Thorac Cardiovasc Surg 2009; 137: 154–9.CrossRefGoogle Scholar
Laussen, P. Optimal blood gas management during deep hypothermic paediatric cardiac surgery: alpha stat is easy, but pH stat may be preferable. Paediatr Anaesth 2002; 12: 199204.CrossRefGoogle Scholar
May, LE. Paediatric Heart Surgery: A Ready Reference for Professionals, 5th edn. Children’s Hospital of Wisconsin: MaxiShare; 2012.Google Scholar
Romlin, BS, Wåhlander, H, Synnergren, M, Baghaei, F, Jeppsson, A. Earlier detection of coagulopathy with thromboelastometry during pediatric cardiac surgery: a prospective observational study. Paediatr Anaesth 2013; 23: 222–7.Google Scholar
Shah, A, Carlisle, JB. Cuffed tracheal tubes: guilty now proven innocent. Anaesthesia 2019; 74: 11186–90.CrossRefGoogle Scholar
Wypij, D, Jonas, RA, Bellinger, DC, et al. The effect of hematocrit during hypothermic cardiopulmonary bypass in infant heart surgery: results from the combined Boston hematocrit trials. J Thorac Cardiovasc Surg 2008; 135: 355–60.CrossRefGoogle ScholarPubMed

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