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Neonatal Anesthesia pp 291–357Cite as

Anesthesia for Cardiac Surgery in Neonates

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Abstract

Cardiac surgery in the neonate usually is indicated for treatment of congenital malformations of the heart or cardiovascular system. Extremely rare is the need for surgical intervention for pathologies such as endocarditis, cardiac tumors, rhythm disturbances, or pericardial disease. Thus, the focus of this chapter is on anesthesia for cardiac surgery in the neonate with congenital heart disease (CHD). This chapter begins with a brief overview of the cardiovascular physiology of the fetus and neonate, followed by a discussion of CHD that includes the epidemiology, clinical features, and diagnosis in the neonate. Selected anomalies of particular relevance in this age group are reviewed, with emphasis on anatomic features, pathophysiology of the defect, perioperative management, and specific considerations during anesthetic care. This is followed with an in-depth discussion on the important aspects of anesthetic practice in the neonate with CHD undergoing cardiac surgery. Finally, several specific perioperative problems and concerns in the neonate are highlighted.

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  1. Divisions of Pediatric Anesthesiology and Pediatric Cardiology, Departments of Anesthesiology and Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, 6621 Fannin Street, Suite W 17417, Houston, TX, 77030, USA

    Wanda C. Miller-Hance MD

  2. Division of Pediatric Anesthesiology, Department of Anesthesiology, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX, USA

    Erin A. Gottlieb MD & Pablo Motta MD

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  1. Wanda C. Miller-Hance MD
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Correspondence to Wanda C. Miller-Hance MD .

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  1. Department of Anesthesia, Women & Children's Hospital of Buffalo, Buffalo, New York, USA

    Jerrold Lerman

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Miller-Hance, W.C., Gottlieb, E.A., Motta, P. (2015). Anesthesia for Cardiac Surgery in Neonates. In: Lerman, J. (eds) Neonatal Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6041-2_12

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