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CHD Patients for Non-cardiac Surgery

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Anesthetic Management in Pediatric General Surgery

Abstract

Patients with congenital heart disease are experiencing improved survival rates and are increasingly presenting for non-cardiac procedures and surgery. This group remains at higher risk for anesthetic complications during non-cardiac surgery. Common types of surgery include simple diagnostic imaging under sedation, PICC line placement, orthopedic procedures, dental rehabilitation, tonsillectomy and adenoidectomy, and other general surgical and gastro-endoscopic procedures for feeding difficulties. With careful planning and consideration of the patient’s unique anatomy and physiology, sedation and or general anesthesia can be provided safely.

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References

  1. Data and statistics on congenital heart defects. Centers for Disease Control and Prevention. Updated November 12, 2019. Accessed 29 Jan 2020. https://www.cdc.gov/ncbddd/heartdefects/data.html.

  2. Yuki K, Lee S, Staffa S, DiNardo J. Induction techniques for pediatric patients with congenital heart disease undergoing noncardiac procedures are influenced by cardiac functional status and residual lesion burden. J Clin Anesth. 2018;50:14–7. https://doi.org/10.1016/j.jclinane.2018.06.022.

    Article  PubMed  Google Scholar 

  3. Sulkowski J, Cooper J, McConnell P, Pasquali S, Shah S, Minneci P, Deans K. Variability in noncardiac surgical procedures in children with congenital heart disease. J Pediatr Surg. 2014;49(11):1564–9. https://doi.org/10.1016/j.jpedsurg.2014.06.001.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Williams Syndrome. National Institutes of Health. Updated August 17, 2020. Accessed 31 Aug 2020. https://ghr.nlm.nih.gov/condition/williams-syndrome.

  5. Taylor D, Habre W. Risk associated with anesthesia for noncardiac surgery in children with congenital heart disease. Paediatr Anaesth. 2019;29(5):426–34. https://doi.org/10.1111/pan.13595.

    Article  PubMed  Google Scholar 

  6. Faraoni D, Zurakowski D, Vo D, et al. Post-operative outcomes in children with and without congenital heart disease undergoing noncardiac surgery. J Am Coll Cardiol. 2016;67(7):793–801. https://doi.org/10.1016/j.jacc.2015.11.057.

    Article  PubMed  Google Scholar 

  7. 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. Anesth Analg. 2010;110(5):1376–82. https://doi.org/10.1213/ANE.0b013e3181c9f927.

    Article  PubMed  CAS  Google Scholar 

  8. Mirski MA, Lele AV, Fitzsimmons L, Toung TJK. Diagnosis and treatment of vascular air embolism. Anesthesiology (Philadelphia). 2007;106(1):164–77. https://doi.org/10.1097/00000542-200701000-00026.

    Article  Google Scholar 

  9. Leyvi G, Taylor DG, Reith E, Wasnick JD. Utility of ultrasound-guided central venous cannulation in pediatric surgical patients: a clinical series. Pediatr Anesth. 2005;15(11):953–8. https://doi.org/10.1111/j.1460-9592.2005.01609.x.

    Article  Google Scholar 

  10. Navaratnam M, Maeda K, Hollander SA. Pediatric ventricular assist devices: bridge to a new era of perioperative care. Pediatr Anesth. 2019;29(5):506–18. https://doi.org/10.1111/pan.13609.

    Article  Google Scholar 

  11. Chu DI, Tan JM, Mattei P, et al. Outcomes of laparoscopic and open surgery in children with and without congenital heart disease. J Pediatr Surg. 2018;53(10):1980–8. https://doi.org/10.1016/j.jpedsurg.2017.10.052.

    Article  PubMed  Google Scholar 

  12. Weber F, Scoones GP. A practical approach to cerebral near-infrared spectroscopy (NIRS) directed hemodynamic management in noncardiac pediatric anesthesia. Paediatr Anaesth. 2019;29(10):993–1001. https://doi.org/10.1111/pan.13726.

    Article  PubMed  Google Scholar 

  13. Watkins SC, McNew BS, Donahue BS. Risks of noncardiac operations and other procedures in children with complex congenital heart disease. Ann Thorac Surg. 2013;95(1):204–11. https://doi.org/10.1016/j.athoracsur.2012.09.023.

    Article  PubMed  Google Scholar 

  14. Sarkar MS, Desai PM. Pulmonary hypertension and cardiac anesthesia: anesthesiologist’s perspective. Ann Card Anaesth. 2018;21(2):116–22. https://doi.org/10.4103/aca.ACA_123_17.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Ramakrishna G, Sprung J, Ravi BS, Chandrasekaran K, McGoon MD. Impact of pulmonary hypertension on the outcomes of noncardiac surgery. J Am Coll Cardiol. 2005;45(10):1691–9. https://doi.org/10.1016/j.jacc.2005.02.055.

    Article  PubMed  Google Scholar 

  16. MacKnight B, Martinez EA, Simon BA. Anesthetic management of patients with pulmonary hypertension. Semin Cardiothorac Vasc Anesth. 2008;12(2):91–6. https://doi.org/10.1177/1089253208319872.

    Article  PubMed  Google Scholar 

  17. Morales DL, Rossano JW, VanderPluym C, et al. Third annual pediatric interagency registry for mechanical circulatory support (Pedimacs) report: preimplant characteristics and outcomes. Ann Thorac Surg. 2019;107(4):993–1004. https://doi.org/10.1016/j.athoracsur.2019.01.038.

    Article  PubMed  Google Scholar 

  18. Ko JM. Genetic syndromes associated with congenital heart disease. Korean Circ J. 2015;45(5):357–61. https://doi.org/10.4070/kcj.2015.45.5.357.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Twite MD, Stenquist S, Ing RJ. Williams syndrome. Pediatr Anesth. 2019;29(5):483–90. https://doi.org/10.1111/pan.13620.

    Article  Google Scholar 

  20. Matisoff AJ, Olivieri L, Schwartz JM, Deutsch N. Risk assessment and anesthetic management of patients with Williams syndrome: a comprehensive review. Pediatr Anesth. 2015;25(12):1207–15. https://doi.org/10.1111/pan.12775.

    Article  Google Scholar 

  21. Brown ML, DiNardo JA, Nasr VG. Anesthesia in pediatric patients with congenital heart disease undergoing noncardiac surgery: defining the risk. J Cardiothorac Vasc Anesth. 2020;34(2):470–8. https://doi.org/10.1053/j.jvca.2019.06.015.

    Article  PubMed  Google Scholar 

  22. Pasquali SK, He X, Mohamad Z, et al. Trends in endocarditis hospitalizations at US children’s hospitals: impact of the 2007 American Heart Association Antibiotic Prophylaxis Guidelines. Am Heart J. 2012;163(5):894–9. https://doi.org/10.1016/j.ahj.2012.03.002.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation (New York, NY). 2007;116(15):1736–54. https://doi.org/10.1161/CIRCULATIONAHA.106.183095.

    Article  Google Scholar 

  24. Baltimore RS, Gewitz M, Baddour LM, et al. Infective endocarditis in childhood: 2015 update: a scientific statement from the American Heart Association. Circulation (New York, NY). 2015;132(15):1487–515. https://doi.org/10.1161/CIR.0000000000000298.

    Article  Google Scholar 

  25. Choudhury M. Post-cardiac transplant recipient: Implications for anaesthesia. Indian J Anaesth. 2017;61(9):768–74. https://doi.org/10.4103/ija.IJA_390_17. PMID: 28970636; PMCID:PMC5613603.

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Authors and Affiliations

  1. Division of Anesthesiology, Pain and Perioperative Medicine, Children’s National Hospital, George Washington University Hospital, Washington, DC, USA

    Daniela Perez-Velasco & Andrew Matisoff

Authors
  1. Daniela Perez-Velasco
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  2. Andrew Matisoff
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Corresponding author

Correspondence to Daniela Perez-Velasco .

Editor information

Editors and Affiliations

  1. Professor of Anesthesiology and Pediatrics, The George Washington University Medical Center, Department of Anesthesiology and Pain Medicine, Children’s National Medical Center, Washington, DC, USA

    Susan T. Verghese

  2. Professor of Surgery & Pediatrics, The George Washington University School of Medicine, Department of Surgery, Children’s National Medical Center, Washington, DC, USA

    Timothy D. Kane

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Perez-Velasco, D., Matisoff, A. (2021). CHD Patients for Non-cardiac Surgery. In: Verghese, S.T., Kane, T.D. (eds) Anesthetic Management in Pediatric General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-72551-8_4

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  • DOI: https://doi.org/10.1007/978-3-030-72551-8_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-72550-1

  • Online ISBN: 978-3-030-72551-8

  • eBook Packages: MedicineMedicine (R0)

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