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anesthesia for the patients with congenital heart disease

https://read.qxmd.com/read/32371630/congenital-heart-disease-in-adults-when-kids-grow-up-pediatric-geriatric-anesthesia
#21
REVIEW
Pablo Motta, Ana M Manrique, Sara L Partington, Sana Ullah, Luis M Zabala
PURPOSE OF REVIEW: The current review focuses on the new development of adult congenital heart disease (ACHD) patients in the areas of imaging, percutaneous interventions, ventricular assist devices and transplantation. RECENT FINDINGS: Since the last ACHD publication in the journal, several advances have been made in the evaluation and treatment of these patients. As CHD patients' longevity increases pregnancy, comorbities and acquired heart disease become a concern...
June 2020: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/32284176/pregnancy-outcomes-in-patients-with-heart-disease-in-china
#22
Jiaqi Hu, Yingxian Ye, Anyi Lu, Liwen Chen, Yongjian Mai, Guiting Huang, Sheng Wang
To analyze pregnancy outcomes of patients with heart disease in a single center and to explore the risk factors of adverse outcomes. One thousand thirty-three pregnant women with heart disease were retrospectively included from 2010 to 2017. We collected data of maternal, obstetric, and fetal outcomes. Among 1,086 pregnancies, 295 (27.1%) with congenital heart disease, 244 (22.5%) with rheumatic heart disease, 387 (35.6%) with arrhythmia, and 55 (5.1%) with cardiomyopathy. There were 8 (0.7%) maternal deaths...
June 1, 2020: American Journal of Cardiology
https://read.qxmd.com/read/32251574/anesthesia-timing-for-children-undergoing-therapeutic-cardiac-catheterization-after-upper-respiratory-infection-a-prospective-observational-study
#23
Kan Zhang, Siyuan Wang, Mengqi Li, Chi Wu, Liping Sun, Sen Zhang, Jie Bai, Mazhong Zhang, Jijian Zheng
BACKGROUND: We aimed to analyze anesthesia timing and perioperative respiratory adverse event (PRAE) risk factors in children undergoing therapeutic cardiac catheterization after upper respiratory tract infection (URI). METHODS: We prospectively included children for elective therapeutic cardiac catheterization. Parents or legal guardians were asked to complete a questionnaire on the child's demographics, tobacco exposure, and URI symptoms. PRAEs (laryngospasm, bronchospasm, coughing, airway secretion, airway obstruction, and oxygen desaturation) as well as details of anesthesia management were recorded...
August 2020: Minerva Anestesiologica
https://read.qxmd.com/read/32245513/effect-of-xenon-and-dexmedetomidine-as-adjuncts-for-general-anesthesia-on-postoperative-emergence-delirium-after-elective-cardiac-catheterization-in-children-study-protocol-for-a-randomized-controlled-pilot-trial
#24
Sarah Devroe, Lisa Devriese, Frederik Debuck, Steffen Fieuws, Bjorn Cools, Marc Gewillig, Marc Van de Velde, Steffen Rex
BACKGROUND: Emergence delirium, a manifestation of acute postoperative brain dysfunction, is frequently observed after pediatric anesthesia and has been associated with the use of sevoflurane. Both xenon and dexmedetomidine possess numerous desirable properties for the anesthesia of children with congenital heart disease, including hemodynamic stability, lack of neurotoxicity, and a reduced incidence of emergence delirium. Combining both drugs has never been studied as a balanced-anesthesia technique...
April 3, 2020: Trials
https://read.qxmd.com/read/32191511/anesthetic-management-of-a-pediatric-patient-with-cardiofaciocutaneous-syndrome
#25
Yoshiki Shionoya, Maki Yamamoto, Katsuhisa Sunada, Kiminari Nakamura
Cardiofaciocutaneous (CFC) syndrome is a rare condition characterized by congenital heart disease, craniofacial dysmorphology, and dermatological abnormalities. CFC syndrome is one of the RASopathies, a family of syndromes that also includes Noonan and Costello syndromes, all with underlying gene mutations involving the Ras/mitogen-activated protein kinase pathways. Important considerations for anesthesiologists caring for these patients include the need to evaluate for possible cardiac defects, anticipating and planning for potentially difficult airway management, and the consideration of potential weakness of the respiratory muscles...
2020: Anesthesia Progress
https://read.qxmd.com/read/32169066/oral-management-of-a-patient-with-down-syndrome-and-agammaglobulinemia-a-case-report
#26
Yasuka Kusumoto, Kohsuke Imai, Yoshio Ohyama, Haruhisa Fukayama, Osamu Shinozuka
BACKGROUND: Down syndrome is characterized by a variety of dysmorphic features and congenital malformations, such as congenital heart disease, gastrointestinal disease, and other conditions like leukemia and autoimmune disorders. Patients with Down syndrome are highly prone to respiratory tract infections, which might be fatal to them. However, there are only few available data on patients diagnosed with Down syndrome and agammaglobulinemia. In this report, we describe a case of successful prevention of post-dental treatment complications (e...
March 13, 2020: BMC Oral Health
https://read.qxmd.com/read/32041972/down-syndrome-reduces-the-sedative-effect-of-midazolam-in-pediatric-cardiovascular-surgical-patients
#27
Yujiro Matsuishi, Hideaki Sakuramoto, Haruhiko Hoshino, Nobutake Shimojo, Yuki Enomoto, Bryan J Mathis, Yuji Hiramatsu, Yoshiaki Inoue
Down syndrome (DS) is frequently comorbid with congenital heart disease and has recently been shown to reduce the sedative effect of benzodiazepine (BDZ)-class anesthesia but this effect in a clinical setting has not been studied. Therefore, this study compared midazolam sedation after heart surgery in DS and normal children. We retrospectively reviewed patient records in our pediatric intensive care unit (PICU) of pediatric cardiovascular operations between March 2015 and March 2018. We selected five days of continuous post-operative data just after termination of muscle relaxants...
February 10, 2020: Scientific Reports
https://read.qxmd.com/read/31977117/highly-accelerated-real-time-phase-contrast-mri-using-radial-k-space-sampling-and-grog-grasp-reconstruction-a-feasibility-study-in-pediatric-patients-with-congenital-heart-disease
#28
Hassan Haji-Valizadeh, Li Feng, Liliana E Ma, Daming Shen, Kai Tobias Block, Joshua D Robinson, Michael Markl, Cynthia K Rigsby, Daniel Kim
Retrospective electrocardiogram-gated, 2D phase-contrast (PC) flow MRI is routinely used in clinical evaluation of valvular/vascular disease in pediatric patients with congenital heart disease (CHD). In patients not requiring general anesthesia, clinical standard PC is conducted with free breathing for several minutes per slice with averaging. In younger patients under general anesthesia, clinical standard PC is conducted with breath-holding. One approach to overcome this limitation is using either navigator gating or self-navigation of respiratory motion, at the expense of lengthening scan times...
January 24, 2020: NMR in Biomedicine
https://read.qxmd.com/read/31969503/-simultaneous-surgical-treatment-for-pectus-excavatum-combined-with-congenital-cardiothoracic-diseases
#29
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
https://read.qxmd.com/read/31929239/anaphylaxis-induced-atrial-fibrillation-and-anesthesia-pathophysiologic-and-therapeutic-considerations
#30
REVIEW
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
https://read.qxmd.com/read/31906990/three-year-experience-with-immediate-extubation-in-pediatric-patients-after-congenital-cardiac-surgery
#31
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
https://read.qxmd.com/read/31829170/benefits-of-ultra-fast-track-anesthesia-for-children-with-congenital-heart-disease-undergoing-cardiac-surgery
#32
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
https://read.qxmd.com/read/31796302/-high-frequency-jet-ventilator-a-new-approach-in-the-management-of-anesthesia-for-pediatric-cardiac-magnetic-resonance-imaging-case-series
#33
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
https://read.qxmd.com/read/31781201/anesthesia-practice-review-of-perioperative-management-of-h-type-tracheoesophageal-fistula
#34
REVIEW
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
https://read.qxmd.com/read/31764849/bilateral-lung-transplantation-after-caesarean-section-in-pregnancy-with-severe-pulmonary-arterial-hypertension-a-case-report
#35
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)
https://read.qxmd.com/read/31564449/the-inaccuracy-of-lafarge-equations-estimating-the-oxygen-consumption-in-children-under-3-years-age
#36
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
https://read.qxmd.com/read/31431142/deep-tracheal-extubation-using-dexmedetomidine-in-children-with-congenital-heart-disease-undergoing-cardiac-catheterization-advantages-and-complications
#37
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
https://read.qxmd.com/read/31431128/anesthesia-for-pediatric-heart-transplantation-are-patients-with-a-failing-hemi-fontan-or-fontan-physiology-different
#38
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
https://read.qxmd.com/read/31396739/impact-of-congenital-heart-disease-on-outcomes-after-primary-repair-of-esophageal-atresia-a-retrospective-observational-study-using-a-nationwide-database-in-japan
#39
MULTICENTER STUDY
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
https://read.qxmd.com/read/31384332/percutaneous-closure-of-a-large-atrial-septal-defect-in-a-child-with-severe-dextroscoliosis-a-case-report
#40
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
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