Keywords anesthesia for the patients wi...

anesthesia for the patients with congenital heart disease
Guangxian Yang, Jinhua Wang, Xicheng Deng, Liwen Yi, Peng Huang, Yifeng Yang
To study the methods and principles for simultaneous treatment in the children with pectus excavatum (PE) combined with congenital cardiothoracic diseases.
 Methods: The medical records of all children, who underwent simultaneous repair of PE combined with congenital cardiothoracic diseases, were retrospectively reviewed in Hunan Children's Hospital from January 2007 to September 2018. The patients were divided into a PE combined with congenital heart disease (CHD) group (n=17) and a PE combined with thoracic disease group (n=10)...
December 28, 2019: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
Nicholas G Kounis, Ioanna Koniari, George Tzanis, George D Soufras, Dimitrios Velissaris, George Hahalis
Atrial fibrillation is the most common cardiac arrhythmia in western society affecting more than 35 million individuals worldwide annually. It is a common postoperative complication and may also occur spontaneously during general and local anesthesia administration. Aging, diabetes mellitus, hypertension, and cardiovascular diseases including cardiomyopathies, congenital cardiac anomalies, heart failure, myocardial ischemia, pericarditis, previous cardiac surgery, vascular disease, and valvular heart disease are some correlated factors...
January 2020: Annals of Cardiac Anaesthesia
Christopher F Tirotta, Stephen Alcos, Richard G Lagueruela, Daria Salyakina, Weize Wang, Jessica Hughes, Marysory Irizarry, Redmond P Burke
BACKGROUND: In pediatric cardiac anesthesiology, there is increased focus on minimizing morbidity, ensuring optimal functional status, and using health care resources sparingly. One aspect of care that has potential to affect all of the above is postoperative mechanical ventilation. Historically, postoperative ventilation was considered a must for maintaining patient stability. Ironically, it is recognized that mechanical ventilation may increase risk of adverse outcomes in the postoperative period...
January 6, 2020: Journal of Cardiothoracic Surgery
Jing Xu, Guanghua Zhou, Yanpei Li, Na Li
BACKGROUND: To compare the outcomes of ultra-fast-track anesthesia (UFTA) and conventional anesthesia in cardiac surgery for children with congenital heart disease (CHD) and low birth weight. METHODS: One hundred and ninety-four CHD children, aged 6 months to 2 years, weighting 5 to 10 kg, were selected for this study. The 94 boys and 100 girls with the American Society of Anesthesiologists (ASA) physical status III and IV were randomly divided into two groups each consisting of 97 patients, and were subjected to ultra-fast-track and conventional anesthesia for cardiac surgery...
December 11, 2019: BMC Pediatrics
João Tiago Rodrigues, Carmen Oliveira, Ana Pinto Ferreira
BACKGROUND AND OBJECTIVES: Cardiac Magnetic Resonance Imaging (MRI) is a technique used for evaluation of children with congenital heart diseases. General anesthesia ensures immobility, particularly in uncooperative patients. However, chest wall movements can limit good quality scans. Prolonged apnea may be necessary to decrease respiratory motion artefacts, potentially leading to hypoxemia and other adverse events. The use of a high frequency jet ventilator may be a solution avoiding chest wall movements...
November 2019: Revista Brasileira de Anestesiologia
Bret Edelman, Bright Jebaraj Selvaraj, Minal Joshi, Uday Patil, Joel Yarmush
Tracheoesophageal fistula (TEF) is a rare congenital developmental anomaly, affecting 1 in 2500-3000 live births. The H-type TEF, consisting of a fistula between the trachea and a patent esophagus, is one of the rare anatomic subtypes, accounting for 4% of all TEFs. The presentation and perioperative management of neonates with H-type TEFs and all other TEFs are very similar to each other. Patients present with congenital heart disease and other defects and are prone to recurrent aspirations. A barium esophagogram or computed tomography of the chest is a common means to the diagnosis, and surgical repair is carried out through either a cervical approach or a right thoracotomy...
2019: Anesthesiology Research and Practice
Jia Ye, Jing-Yu Chen, Na Xu, Bo Wu, Zhi-Ping Wang, Hong-Yang Xu, Jin-Qi Ma
RATIONALE: Pulmonary arterial hypertension (PAH) can lead to an increase in right ventricular load and subsequently heart failure, making severe PAH a contraindication for pregnancy. In addition, PAH may worsen during pregnancy and puerperium, which requires high-quality critical care. This report is the first instance in which a patient with severe PAH, survived a successful atrial septal defect (ASD) repair and bilateral lung transplantation during puerperium. PATIENT CONCERNS: A 42-year-old pregnant woman with congenital heart disease (CHD) and severe PAH was admitted to our hospital for the management of pregnancy and delivery...
November 2019: Medicine (Baltimore)
A Limón, F J Escribá, V Ferrari, S Monzó-Fabuel, P Argente
Accurate oxygen consumption measurement (VO2 ), is essential to obtain a reliable hemodynamic assessment, particularly in patients with congenital heart diseases undergoing cardiac catheterization. LaFarge equations can be unreliable in predicting VO2 , particularly in the pediatric population. In a clinical setting, these inaccurate estimates can lead to important hemodynamic parameter miscalculations, with possible therapeutic or diagnostic consequences. Our aim is to validate LaFarge equations (the most widely used for estimating VO2 ) and compare them with direct measurement in children during cardiac catheterization in the cath lab...
September 26, 2019: Revista Española de Anestesiología y Reanimación
Nischal K Gautam, Kayla Bober, James A Pierre, Olga Pawelek, Evelyn Griffin
Objective . Deep tracheal extubation using dexmedetomidine is safe and provides smooth recovery in children with congenital heart disease undergoing cardiac catheterization. Design . Single-institution, retrospective study of prospectively collected data. Participants . All patients aged between 1 month and 5 years who underwent general endotracheal anesthesia for diagnostic and interventional cardiac catheterizations in the cardiac catheterization suite from January 2015 (change in standard operating procedure) through October 2016 (approval of institutional review board for study)...
December 2019: Seminars in Cardiothoracic and Vascular Anesthesia
Matthias F Mueller, Ann-Catrin Paul, Valesco Mann, Christian M Koerner, Klaus Valeske, Josef Thul, Noona Mazhari, Juergen Bauer, Dietmar Schranz, Hakan Akintuerk
Background . The absolute number of patients presenting with failure of the hemi-Fontan or Fontan circulation for cardiac transplantation (cTx) will continuously rise. We aimed to analyze the intraoperative differences in patients undergoing cTx for a failing hemi-Fontan or Fontan circulation (group A) with those undergoing cTx for cardiomyopathy and congenital heart disease (group B). Methods. Data of patients undergoing cTx during a 10-year period were compared between group A and group B patients. Results ...
December 2019: Seminars in Cardiothoracic and Vascular Anesthesia
Tetsuya Ishimaru, Michimasa Fujiogi, Nobuaki Michihata, Hiroki Matsui, Kiyohide Fushimi, Hiroshi Kawashima, Jun Fujishiro, Hideo Yasunaga
PURPOSE: To verify the association between congenital heart disease (CHD) and postoperative complications after primary repair of esophageal atresia in patients from a Japanese nationwide database. METHODS: We identified babies in the Diagnosis Procedure Combination database who underwent radical surgery for esophageal atresia from 2010 to 2016. We used multivariable logistic regression analyses to evaluate the occurrence of anastomotic leakage and anastomotic stricture...
October 2019: Pediatric Surgery International
Adrian Linte, Andra Rodica Balanescu, Eustaquio Onorato, Dinu Valentin Balanescu, Violeta Claudia Bojinca, Elena Drakonaki, Mihai Bojinca, Serban Mihai Balanescu
In this study, we present the case of an 11-year-old child with cachexia, severe dextroscoliosis, pectus carinatum, secondary restrictive pulmonary disease, and an incidental finding of a large ostium secundum atrial septal defect (ASD) that was identified on preoperative assessment for surgical correction of the spinal deformity. Transthoracic and transesophageal echocardiography confirmed significant left-to-right shunting with a pulmonary blood flow to systemic blood flow ratio (Qp/Qs) of 3.18 through a 14 mm defect with good circumferential rims, larger than 5 mm...
August 2019: Experimental and Therapeutic Medicine
Morgan L Brown, James A DiNardo, Viviane G Nasr
The incidence of moderate to severe congenital heart disease (CHD) in the United States is estimated to be 6 per 1,000 live-born, full-term infants. Recent advances in pediatric cardiology, surgery, and critical care have improved significantly the survival rates of patients with CHD leading to an increase in prevalence in both children and adults. Children with CHD significant enough to require cardiac surgery frequently also undergo noncardiac surgical procedures. With this increased demand for procedures that require anesthesia, all anesthesiologists, and more specifically, pediatric anesthesiologists will encounter patients with repaired or unrepaired CHD and other cardiac diseases in their practice...
February 2020: Journal of Cardiothoracic and Vascular Anesthesia
Kelly L Grogan, Michael P Goldsmith, Aaron J Masino, Olivia Nelson, Fu-Chiang Tsui, Allan F Simpao
Congenital heart disease (CHD) is one of the most common birth anomalies, and the care of children with CHD has improved over the past 4 decades. However, children with CHD who undergo general anesthesia remain at increased risk for morbidity and mortality. The proliferation of electronic health record systems and sophisticated patient monitors affords the opportunity to capture and analyze large amounts of CHD patient data, and the application of novel, effective analytics methods to these data can enable clinicians to enhance their care of pediatric CHD patients...
February 2020: Journal of Cardiothoracic and Vascular Anesthesia
Richard J Ing, Mark Twite
This review article surveys the published literature from January 2018 to March 2019. Three themes were identified and articles were selected based on their originality and interest to anesthesiologists caring for patients with congenital heart disease.
June 2019: Seminars in Cardiothoracic and Vascular Anesthesia
Viviane G Nasr, Erin A Gottlieb, Adam C Adler, Michael A Evans, Amod Sawardekar, James A DiNardo, Emad B Mossad, Alexander J C Mittnacht
THIS ARTICLE IS a review of the highlights of pertinent literature published during the 12 months of 2018 that is of interest to the congenital cardiac anesthesiologist. During a search of the US National Library of Medicine PubMed database, several topics that displayed significant contributions to the field in 2018 emerged. The authors of the present review consider the following topics noteworthy: the patient with high-risk congenital heart disease (CHD) presenting for noncardiac surgery, cardiopulmonary resuscitation in infants and children with CHD, dexmedetomidine use in pediatric patients, point-of-care lung ultrasound, and regional anesthesia in pediatric cardiac surgery...
October 2019: Journal of Cardiothoracic and Vascular Anesthesia
Lei Wu, Qiaoru Hou, Jie Bai, Jianwei Zhang, Liping Sun, Ruizhen Tan, Mazhong Zhang, Jijian Zheng
OBJECTIVES: Lung ultrasound can reliably diagnose pulmonary atelectasis. The object of this study is to determine the most efficient region to assess changes in atelectasis in children with congenital heart disease under general anesthesia. DESIGN: Randomized controlled trial. SETTING: Operating room at university-affiliated children's hospital. PATIENTS: Children between 3 months and 3 years old, scheduled for elective congenital heart disease surgery under general anesthesia...
May 2019: Pediatric Critical Care Medicine
Steven F Butz
Ambulatory surgery in the pediatric population can be similar to adult ambulatory with a few different challenges. Success is best determined by appropriate preoperative screening. Issues common in pediatrics are the respiratory infection, asthma, congenital heart disease and syndromes, as well as sleep apnea. Risk factors for adverse respiratory events and patient transfer differ from adults as do data for rapid discharge.
June 2019: Anesthesiology Clinics
Qiangqiang Li, Konstantinos Dimopoulos, Tianyang Liu, Zhuoyuan Xu, Qian Liu, Yanna Li, Jun Zhang, Hong Gu
AIMS: Pulmonary arterial hypertension is a severe complication in patients with congenital heart disease and poses a significant risk to women wishing to become pregnant. This study describes the clinical presentation, maternal outcomes and risk factors for the peripartum period in women with pulmonary arterial hypertension related to congenital heart disease (PAH-CHD). METHODS: All pregnant women with PAH-CHD who were admitted for delivery in a tertiary center between February 2011-September 2016 were included...
July 2019: European Journal of Preventive Cardiology
Xin Liu, Feng Qi, Jichang Chen, Songrong Yi, Yanling Liao, Zhuoxin Liang, Jing Zhou, Yan Feng
Background and Objective: To investigate the relationship between infant-specific preoperative pulmonary function tests (PFTs) and postoperative pulmonary complications (PPCs) in infants with congenital heart diseases (CHDs). Methods: Patients of 1-3 years of age who received surgical treatment for CHDs from January 1st , 2009, to December 31st , 2017, were retrieved. Records of preoperative PFTs, methods of operation, anesthesia procedures, intraoperative vital signs, respiratory support modalities, and PPCs was retrieved and analyzed...
2019: Disease Markers
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