Skip to main content Accessibility help
×
Hostname: page-component-84b7d79bbc-7nlkj Total loading time: 0 Render date: 2024-07-30T15:00:34.289Z Has data issue: false hasContentIssue false

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
Get access

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.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×