Skip to main content
SpringerLink
Log in

Anesthesia in Pediatric Cardiac Surgery

  • Chapter
  • First Online:
Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery

Abstract

With the increasing survival over the last decade, the number of patients with congenital heart diease (CHD) has increased into adulthood. It becomes imperative for the cardiac anesthesiologist to be familiar with CHD for non-cardiac surgery, particularly in patients with a late presentation of CHD or repaired versus palliated CHD undergoing operative procedures. This chapter will be focused on pediatric cardiac surgery for CHD.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. O’Brien SM, Clarke DR, Jacobs JP, Jacobs ML, Lacour-Gayet FG, Pizarro C, et al. An empirically based tool for analyzing mortality associated with congenital heart surgery. J Thorac Cardiovasc Surg. 2009 Nov;138(5):1139–53.

    Article  Google Scholar 

  2. Harvest Schedule and Information | STS [Internet]. [cited 2017 Oct 30]. Available from: https://www.sts.org/registries-research-center/sts-national-database/harvest-schedule-and-information

  3. Thiene G, Frescura C. Anatomical and pathophysiological classification of congenital heart disease. Cardiovasc Pathol Off J Soc Cardiovasc Pathol. 2010 Oct;19(5):259–74.

    Article  Google Scholar 

  4. Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M, et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med. 2012 Jul;38(7):1105–17.

    Article  Google Scholar 

  5. Practice Guidelines for Perioperative Transesophageal Echocardiography. Anesthesiol J Am Soc Anesthesiol. 2010 May 1;112(5):1084–96.

    Google Scholar 

  6. Zhang H, Du L, Du Z, Jiang H, Han D, Li Q. Association between childhood exposure to single general anesthesia and neurodevelopment: a systematic review and meta-analysis of cohort study. J Anesth. 2015 Oct;29(5):749–57.

    Article  Google Scholar 

  7. Andropoulos DB, Greene MF. Anesthesia and developing brains—implications of the FDA warning. N Engl J Med. 2017;2017(376):905–7.

    Article  Google Scholar 

  8. Steppan J, Hogue CW. Cerebral and tissue oximetry. Best Pract Res Clin Anaesthesiol. 2014 Dec;28(4):429–39.

    Article  Google Scholar 

  9. Hogue C, Kraut M, Selnes O. Continuous Cerebral Autoregulation Monitoring to Reduce Brain Injury from Cardiac. Grantome [Internet]. [cited 2016 Nov 3]; Available from: http://grantome.com/grant/NIH/R01-HL092259-02

  10. Hoffman GM, Ghanayem NS, Scott JP, Tweddell JS, Mitchell ME, Mussatto KA. Postoperative cerebral and somatic near-infrared spectroscopy saturations and outcome in Hypoplastic left heart syndrome. Ann Thorac Surg. 2017 May;103(5):1527–35.

    Article  Google Scholar 

  11. Bathala L, Mehndiratta MM, Sharma VK. Transcranial doppler: technique and common findings (part 1). Ann Indian Acad Neurol. 2013;16(2):174–9.

    Article  Google Scholar 

  12. Andropoulos DB, Easley RB, Brady K, McKenzie ED, Heinle JS, Dickerson HA, et al. Neurodevelopmental outcomes after regional cerebral perfusion with Neuromonitoring for neonatal aortic arch reconstruction. Ann Thorac Surg. 2013 Feb;95(2):648–55.

    Article  Google Scholar 

  13. Wikkelsø A, Wetterslev J, Møller AM, Afshari A. Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care in adults or children with bleeding. Cochrane Database Syst Rev. 2016 Aug 22;8:CD007871.

    Google Scholar 

  14. Nakayama Y, Nakajima Y, Tanaka KA, Sessler DI, Maeda S, Iida J, et al. Thromboelastometry-guided intraoperative haemostatic management reduces bleeding and red cell transfusion after paediatric cardiac surgery. BJA Br J Anaesth. 2015 Jan;114(1):91–102.

    Article  CAS  Google Scholar 

  15. Boretsky K, Visoiu M, Bigeleisen P. Ultrasound-guided approach to the paravertebral space for catheter insertion in infants and children. Paediatr Anaesth. 2013 Dec;23(12):1193–8.

    Google Scholar 

  16. Wypij D, Jonas RA, Bellinger DC, Del Nido PJ, Mayer JE, Bacha EA, 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 Feb;135(2):355–60.

    Article  Google Scholar 

  17. Elhoff JJ, Chowdhury SM, Zyblewski SC, Atz AM, Bradley SM, Graham EM. Intraoperative steroid use and outcomes following the Norwood procedure: an analysis of the pediatric heart Network’s public database. Pediatr Crit Care Med. 2016 Jan;17(1):30–5.

    Article  Google Scholar 

  18. Eaton MP, Alfieris GM, Sweeney DM, Angona RE, Cholette JM, Venuto C, et al. Pharmacokinetics of ε-aminocaproic acid in neonates undergoing cardiac surgery with cardiopulmonary bypass. Anesthesiol J Am Soc Anesthesiol. 2015;122(5):1002–9.

    CAS  Google Scholar 

  19. Grassin-Delyle S, Couturier R, Abe E, Alvarez JC, Devillier P, Urien S. A practical tranexamic acid dosing scheme based on population pharmacokinetics in children undergoing cardiac surgery. Anesthesiology. 2013 Apr;118(4):853–62.

    Article  CAS  Google Scholar 

  20. Mahle WT, Jacobs JP, Jacobs ML, Kim S, Kirshbom PM, Pasquali SK, et al. Early Extubation after repair of tetralogy of Fallot and the Fontan procedure: an analysis of the Society of Thoracic Surgeons congenital heart surgery database. Ann Thorac Surg. 2016 Sep;102(3):850–8.

    Article  Google Scholar 

  21. Jacobs ML, Jacobs JP, Hill KD, Hornik C, O’Brien SM, Pasquali SK, et al. The Society of Thoracic Surgeons congenital heart surgery database: 2017 update on research. Ann Thorac Surg. 2017 Sep;104(3):731–41.

    Article  Google Scholar 

  22. Santos CR, Branco PQ, Gaspar A, Bruges M, Anjos R, Gonçalves MS, et al. Use of peritoneal dialysis after surgery for congenital heart disease in children. Perit Dial Int J Int Soc Perit Dial. 2012;32(3):273–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Baylor College of Medicine–Texas Children’s Hospital, Pediatric Cardiovascular Anesthesiology, Houston, TX, USA

    Eric L. Vu & Pablo Motta

Authors
  1. Eric L. Vu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pablo Motta
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pablo Motta .

Editor information

Editors and Affiliations

  1. Distinguished University Professor Department of Anesthesia and Perioperative Medicine and Department of MedicineDivision of Critical Care Medicine, London Health Sciences Center and St Joseph’s Healthcare London Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Davy C.H. Cheng

  2. Associate Professor Department of Anesthesia and Perioperative Medicine and Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Janet Martin

  3. Professor of Surgery University of Toronto, Melanie Munk Chair of Cardiovascular Surgery University Health Network, Toronto, ON, Canada

    Tirone David

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Vu, E.L., Motta, P. (2021). Anesthesia in Pediatric Cardiac Surgery. In: Cheng, D.C., Martin, J., David, T. (eds) Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-47887-2_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-47887-2_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47886-5

  • Online ISBN: 978-3-030-47887-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation