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Chapter 71 - Noncardiac Surgery in a Glenn Patient

Published online by Cambridge University Press:  30 November 2019

By
Jaime Bozentka  and
Laura Diaz-Berenstain
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter, reviews the basics of non-cardiac surgery for the child with a superior cavopulmonary anastomosis (Glenn physiology). The authors provide an overview of Glenn physiology and the indications for construction of a superior cavopulmonary anastomosis. The chapter considers the “normal” values for this cohort as well as the anesthetic interactions and implication of the Glenn physiology for a host of anesthetic management techniques.

Keywords

Non-cardiac surgeryGlennsuperior cavopulmonary anastomosis
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 328 - 333
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Gottlieb, EA, Andropoulos, DB. Anesthesia for the patient with congenital heart disease presenting for noncardiac surgery. Current Opinion in Anaesthesiology. 2013; 26(3):318–26. PMID: 23614956.Google Scholar
Ramamoorthy, C, Haberkern, CM, Bhananker, SM, et al. Anesthesia-related cardiac arrest in children with heart disease: data from the pediatric perioperative cardiac arrest (POCA) registry. Anesthesia & Analgesia. 2010;110(5):1376–82. PMID: 20103543.Google Scholar
Veyckemans, F, Momeni, M. The patient with a history of congenital heart disease who is to undergo ambulatory surgery. Current Opinion in Anaesthesiology. 2013; 26(6):685–691. PMID: 24126690.CrossRefGoogle ScholarPubMed
Wilson, W, Taubert, K, et al. Prevention of infective endocarditis: guidelines from the American Heart Association, by the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease. Circulation. 2007;116:1736–54. PMID: 17446442.Google Scholar
Yuki, K, Casta, A, Uezono, S. Anesthetic management of noncardiac surgery for patients with single ventricle physiology. Journal of Anesthesia. 2011;25(2):247–56. PMID: 21197552.Google Scholar

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