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Keywords anesthesia for the patients wi...

anesthesia for the patients with congenital heart disease

https://read.qxmd.com/read/33884979/clinical-efficacy-of-levosimendan-vs-milrinone-in-preventing-low-cardiac-output-syndrome-following-pediatric-cardiac-surgery
#21
Kaushik Jothinath, Soundaravalli Balakrishnan, Vijayakumar Raju, Shoba Menon, Jenit Osborn
Background: Prophylactic milrinone is commonly used to prevent Low Cardiac Output Syndrome (LCOS) after pediatric cardiac surgery. This study compares the use of levosimendan with milrinone when used as the primary inotrope following pediatric cardiac surgery. Subjects and Methods: Forty infants undergoing corrective surgery for congenital heart disease were recruited during the study and randomized into two groups (group L and group M). During rewarming, a loading dose of levosimendan or milrinone was administered followed by a 24-hour infusion of the chosen inotrope...
April 2021: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/33853464/the-year-2020-in-review-noteworthy-literature-for-thoracic-transplant-anesthesiologists
#22
Benjamin A Abrams, Barbara Wilkey
The year 2020 was a monumental year in medicine, and this review focuses on selected articles for cardiothoracic anesthesiologists and perioperative physicians involved in the care of heart and lung transplant patients. In the field of lung transplantation, significant strides were made in our knowledge of risk stratification during the preoperative assessment of potential recipients, perioperative transfusion medicine, and the administration of coagulation factor concentrates. In addition, variations in perioperative management and outcomes between institutions were studied across an assortment of metrics regarding lung transplantation, including case volumes and anesthetic practices...
April 14, 2021: Seminars in Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/33853445/combined-liver-kidney-transplant-in-adult-patient-with-alagille-syndrome-and-pulmonary-hypertension
#23
Rose K McGahan, Jonathan E Tang, Manoj H Iyer, Antolin S Flores, Leonid A Gorelik
In this article, we describe a case of a 33-year-old female with Alagille syndrome complicated by bilateral branch pulmonary artery stenosis resulting in moderate pulmonary hypertension, end-stage liver disease complicated by portal hypertension, and chronic renal disease who presented for combined liver-kidney transplant. Alagille syndrome is an autosomal dominant disease affecting the liver, heart, and kidneys. Multidisciplinary preoperative evaluation was performed with a team consisting of a congenital heart disease cardiologist, a cardiac anesthesiologist, a nephrologist, and a transplant surgeon...
April 14, 2021: Seminars in Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/33832154/supraglottic-foreign-body-in-a-woman-with-down-s-syndrome-and-congenital-heart-disease-a-case-report
#24
Yuchao Liu, Zijia Liu, Yang Zha, Xuerong Yu
RATIONALE: An impacted foreign body (FB) in the larynx of an adult is a rare but potentially life-threatening occurrence. Patients with Down's syndrome (DS) are vulnerable to airway FB. However, the anesthesia for FB removal can be challenging. This report describes a case in which a FB was impacted between the vestibular folds in an adult with DS, congenital heart disease, and a difficult airway. PATIENT CONCERNS: A 41-year-old woman swallowed a piece of sharp-tipped wooden skewer presented with a sudden onset of aphonia, dysphagia, and an acute sore throat without respiratory difficulty...
April 9, 2021: Medicine (Baltimore)
https://read.qxmd.com/read/33828436/structural-heart-issues-in-dextrocardia-situs-type-matters
#25
Charles J Fox, Yenabi Keflemariam, Elyse M Cornett, Richard D Urman, Yury Rapoport, Bipin Shah, Mary C Mancini, Alan D Kaye
Background: Patients who are diagnosed with dextrocardia, a rare congenital heart condition in which the heart points toward the right side of the chest, need their specific situs classification (eg, solitus, inversus, ambiguus) ascertained to optimize their care and outcomes. In this report, we discuss the perioperative anesthetic management of a patient presenting with dextrocardia. Case Report: A 44-year-old African American female with a history of hypertension, hyperlipidemia, gastroesophageal reflux disease, and diabetes mellitus type 2 was admitted for shortness of breath, dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea...
2021: Ochsner Journal
https://read.qxmd.com/read/33754089/320-slice-ct-in-imaging-of-congenital-heart-diseases-in-infants-a-single-center-experience
#26
Gayathri Sreedher, David Bruckman, Shankar Srinivas Ganapathy
Objective The study was conducted to evaluate the best possible imaging technique for neonatal cardiac imaging including optimal injection techniques, intravenous line placement, expected radiation dose, and need for sedation while performing the study on a 320 slice Toshiba® Aquilion ONE® scanner. Study results can be used to optimize imaging parameters for maximum clinical yield. We provide representative images of our cases. Methodology Cardiac CTs performed on infants less than one year of age at the time of study were evaluated...
February 15, 2021: Curēus
https://read.qxmd.com/read/33724075/pediatric-ventricular-assist-device-implantation-an-anesthesia-perspective
#27
Dash F T Newington, Fabrizio De Rita, Alan McCheyne, Claire Louise Barker
BACKGROUND: Ventricular assist devices (VADs) are increasingly being implanted in children, yet there is little literature to guide anesthetic management for these procedures. AIMS: To describe the pediatric population presenting for VAD implantation and the anesthetic management these patients receive. To compare (a) children under and over 12 months of age and (b) children with and without congenital heart disease. METHODS: Retrospective review of patients aged 0 to 17 years who underwent VAD implantation at a single center between 2014 and 2019...
March 16, 2021: Seminars in Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/33679106/the-prevalence-of-non-syndromic-orofacial-clefts-and-associated-congenital-heart-diseases-of-a-tertiary-hospital-in-riyadh-saudi-arabia
#28
Ziyad AlHammad, Ihab Suliman, Sami Alotaibi, Hourya Alnofaie, Waad Alsaadi, Sarah Alhusseini, Ghadah Aldakheel, Noura Alsubaie
Background: Orofacial clefts are considered one of the most common birth defects and are frequently associated with other malformations. Congenital heart disease is one of the most prevalent congenital malformation. Objective: To investigate the prevalence of congenital heart diseases associated with non-syndromic orofacial clefts in the Saudi population. Methods: Electronic files of non-syndromic orofacial cleft patients who visited the Oral and Maxillofacial Surgery Department in King Abdulaziz Medical City of Riyadh, Saudi Arabia from January 2015 to December 2018 were retrospectively reviewed...
March 2021: Saudi Dental Journal
https://read.qxmd.com/read/33669554/fetal-cardiac-interventions-are-they-safe-for-the-mothers
#29
Beata Rebizant, Adam Koleśnik, Agnieszka Grzyb, Katarzyna Chaberek, Agnieszka Sękowska, Jacek Witwicki, Joanna Szymkiewicz-Dangel, Marzena Dębska
The aim of fetal cardiac interventions (FCI), as other prenatal therapeutic procedures, is to bring benefit to the fetus. However, the safety of the mother is of utmost importance. The objective of our study was to evaluate the impact of FCI on maternal condition, course of pregnancy, and delivery. 113 mothers underwent intrauterine treatment of their fetuses with critical heart defects. 128 percutaneous ultrasound-guided FCI were performed and analyzed. The patients were divided into four groups according to the type of FCI: balloon aortic valvuloplasty (fBAV), balloon pulmonary valvuloplasty (fBPV), interatrial stent placement (IAS), and balloon atrioseptoplasty (BAS)...
February 19, 2021: Journal of Clinical Medicine
https://read.qxmd.com/read/33656630/feasibility-of-using-a-non-sedation-protocol-for-evaluation-of-neonatal-congenital-heart-disease-by-using-a-16-cm-wide-detector-computed-tomography-with-a-low-radiation-dose-preliminary-experience-from-a-single-pediatric-medical-center
#30
Chen Guo, Yu-Jie Liu, Ai-Min Sun, Rong-Zhen Ouyang, Li-Wei Hu, Wei-Hui Xie, Hai-Sheng Qiu, Hai-Bo Zhang, Zhuo-Ming Xu, Jia-Qi Sun, Yu-Min Zhong, Qian Wang
The aim of this study is to explore the feasibility of using a non-sedation protocol for the evaluation of neonatal congenital heart disease by using 16-cm wide-detector CT with a low radiation dose. Thirty-four neonates (group 1) were enrolled to undergo cardiac CT without sedation between August 2018 and March 2019. The control group (group 2) comprising 20 inpatient neonates was sedated. Cardiac CT was performed using 16-cm area detector 320-row CT with free breathing and prospective ECG-triggering scan mode...
March 3, 2021: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/33637420/deep-hypothermic-circulatory-arrest-in-the-pediatric-population-undergoing-cardiac-surgery-with-electroencephalography-monitoring-a-systematic-review-and-meta-analysis
#31
Ahmed Abdelaal Ahmed Mahmoud M Alkhatip, Mohamed Gomaa Kamel, Ehab Mohamed Farag, Mohamed Elayashy, Ahmed Farag, Hany Mahmoud Yassin, Mahmoud Hussein Bahr, Mohamed Abdelhaq, Amr Sallam, Ahmed Mostafa Kamal, Mohamed Farid El Emady, Mohamed Wagih, Amr Ahmed Naguib, Mohamed Helmy, Haytham Zien Algameel, Mohamed Abdelkader, Hassan Mohamed, Mohamed Younis, Andrew Purcell, Mohamed Elramely, Mohamed Khaled Hamza
OBJECTIVE: Cardiac surgery for repair of congenital heart defects poses unique hazards to the developing brain. Deep hypothermic circulatory arrest (DHCA) is a simple and effective method for facilitating a bloodless surgical field during congenital heart defect repair. There are, however, some concerns that prolonged DHCA increases the risk of nervous system injury. The electroencephalogram (EEG) is used in adult and, to a lesser extent, pediatric cardiac procedures as a neuromonitoring method...
January 29, 2021: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/33632484/comparison-of-management-strategies-for-neonates-with-symptomatic-tetralogy-of-fallot
#32
Bryan H Goldstein, Christopher J Petit, Athar M Qureshi, Courtney E McCracken, Michael S Kelleman, George T Nicholson, Mark A Law, Jeffery J Meadows, Jeffrey D Zampi, Shabana Shahanavaz, Christopher E Mascio, Paul J Chai, Jennifer C Romano, Sarosh P Batlivala, Shiraz A Maskatia, Ivor B Asztalos, Alicia M Kamsheh, Steven J Healan, Justin D Smith, R Allen Ligon, Joelle A Pettus, Sarina Juma, James E B Raulston, Krissie M Hock, Amy L Pajk, Lindsay F Eilers, Hala Q Khan, Taylor C Merritt, Matthew Canter, Stephan Juergensen, Fatuma-Ayaan Rinderknecht, Holly Bauser-Heaton, Andrew C Glatz
BACKGROUND: Neonates with tetralogy of Fallot and symptomatic cyanosis (sTOF) require early intervention. OBJECTIVES: This study sought to perform a balanced multicenter comparison of staged repair (SR) (initial palliation [IP] and subsequent complete repair [CR]) versus primary repair (PR) treatment strategies. METHODS: Consecutive neonates with sTOF who underwent IP or PR at ≤30 days of age from 2005 to 2017 were retrospectively reviewed from the Congenital Cardiac Research Collaborative...
March 2, 2021: Journal of the American College of Cardiology
https://read.qxmd.com/read/33629430/study-to-evaluate-the-optimal-dose-of-remifentanil-required-to-ensure-apnea-during-magnetic-resonance-imaging-of-the-heart-under-general-anesthesia
#33
Philip Arnold, Syed Sanaulla, Lisa V Hampson, Annette Davis, Jacinth Tan, Ruth Cowen, Musa Kaleem, Alexandra Williams, Ian Wadsworth, Thomas Jaki
BACKGROUND: Magnetic resonance (MRI) scanning of the heart is an established part of the investigation of cardiovascular conditions in children. In young children, sedation is likely to be needed, and multiple controlled periods of apnea are often required to allow image acquisition. Suppression of spontaneous ventilation is possible with remifentanil; however, the dose required is uncertain. AIMS: To establish the dose of remifentanil, by infusion, required to suppress ventilation sufficiently to allow a 30-s apnea during MRI imaging of the heart...
May 2021: Paediatric Anaesthesia
https://read.qxmd.com/read/33628145/anesthesia-management-for-pediatrics-with-congenital-heart-diseases-who-undergo-cardiac-catheterization-in-china
#34
Chun-Mei Xie, Yun-Tai Yao
Objectives: The goal of this study was to summarize anesthesia management for pediatrics with congenital heart diseases who undergo cardiac catheterization procedure in China. Methods: The relevant articles were identified through computerized searches in the CNKI, Wanfang, VIP, and PubMed databases through May 2020, using different combinations of keywords: "congenital heart diseases," "pediatric," "children," "anesthesia," "cardiac catheterization," "interventional therapy," "interventional treatment," "interventional examination," and "computed tomography...
2021: Journal of Interventional Cardiology
https://read.qxmd.com/read/33618961/successful-perioperative-management-of-orthotopic-cardiac-transplantation-in-a-pediatric-patient-with-concurrent-congenital-von-willebrand-disease-and-acquired-von-willebrand-syndrome-using-recombinant-von-willebrand-factor
#35
Glaivy Batsuli, Karen L Zimowski, Rachel Carroll, Michael H White, Gary M Woods, Shannon L Meeks, Robert F Sidonio
Von Willebrand disease (VWD) is the most common bleeding disorder and reportedly affects 1:1,000 of the world's population. There are three subtypes of VWD characterized by a quantitative defect (types 1 and 3 VWD) or a qualitative defect (type 2 VWD). Type 1 VWD results in a partial deficiency of von Willebrand factor (VWF) and affects approximately 75% of individuals with VWD, whereas type 3 VWD results in a severe or complete deficiency of VWF. Individuals with type 2 VWD subtypes (types 2A, 2B, 2M, and 2N VWD) express a dysfunctional VWF protein that has impaired interactions with platelets or factor VIII...
January 27, 2021: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/33547021/multi-institution-assessment-of-the-use-and-risk-of-cardiovascular-computed-tomography-in-pediatric-patients-with-congenital-heart-disease
#36
Mariana De Oliveira Nunes, Dawn R Witt, Susan A Casey, Cynthia K Rigsby, Anthony M Hlavacek, Shahryar M Chowdhury, Edward D Nicol, Thomas Semple, John R Lesser, Katelyn M Storey, Miranda S Kunz, Christian W Schmidt, Larissa I Stanberry, B Kelly Han
BACKGROUND: Cardiac computed tomography (CT) is increasingly used in pediatric patients with congenital heart disease (CHD). Variability of practice and of comprehensive diagnostic risk across institutions is not known. METHODS: Four centers prospectively enrolled consecutive pediatric CHD patients <18 years of age undergoing cardiac CT from January 6, 2017 to 1/30/2020. Patient characteristics, cardiac CT data and comprehensive diagnostic risk were compared by age and institutions...
January 27, 2021: Journal of Cardiovascular Computed Tomography
https://read.qxmd.com/read/33512547/risk-factors-for-adverse-events-in-children-with-pulmonary-hypertension-undergoing-cardiac-catheterization
#37
Danish Vaiyani, Michael Kelleman, Laura A Downey, Usama Kanaan, Christopher J Petit, Holly Bauser-Heaton
Pulmonary hypertension (PH) can lead to progressive heart failure with high morbidity and mortality. Cardiac catheterization (CC) is the gold standard for diagnosis and response to vasodilatory medications. The invasive nature of CC and associated anesthesia predispose this patient population to adverse events including death. Catheterization records were queried from 1/1/2011 to 10/31/2016. Patients with PH, defined as pulmonary vascular resistance (PVR) greater than 3 WU m2 , pulmonary artery pressure above 20 mmHg, and pulmonary wedge pressure less than or equal to 15 mmHg, who underwent hemodynamic CC were included in this retrospective study...
April 2021: Pediatric Cardiology
https://read.qxmd.com/read/33487841/uncorrected-tetralogy-of-fallot-s-anesthetic-challenges
#38
Priyanka Dwivedi, Satish Kumar, Shahbaz Ahmad, Santosh Sharma
Tetrology of Fallot's (TOF) is the most common cause of cyanotic congenital heart disease, and accounts for 10% of all congenital heart diseases. Right to left shunting and hyperviscosity of blood predisposes these patients to brain abscess. Perioperative management of these patients with uncorrected TOF for noncardiac surgery is a challenge for the anesthesiologists owing to the long-term effects of hypoxia and decreased pulmonary blood flow, resulting in considerable modification of the physiology and neurological complications...
April 2020: Anesthesia, Essays and Researches
https://read.qxmd.com/read/33472290/who-are-at-high-risk-of-mortality-and-morbidity-among-children-with-congenital-heart-disease-undergoing-noncardiac-surgery
#39
In-Kyung Song, Won-Jung Shin
With advances in the development of surgical and medical treatments for congenital heart disease (CHD), the population of children and adults with CHD is growing. This population requires multiple surgical and diagnostic imaging procedures. Therefore, general anesthesia is inevitable. In many studies, it has been reported that children with CHD have increased anesthesia risks when undergoing noncardiac surgeries compared to children without CHD. The highest risk group included patients with functional single ventricle, suprasystemic pulmonary hypertension, left ventricular outflow obstruction, and cardiomyopathy...
January 21, 2021: Anesthesia and pain medicine
https://read.qxmd.com/read/33449198/perioperative-management-of-fontan-operation-for-the-child-with-panhypopituitarism-a-case-report
#40
Kohei Sunoki, Yoji Otsuka, Hidetaka Iwai, Tatsuya Nagano, Naoyuki Taga, Masaaki Kawada, Mamoru Takeuchi
With the surgical improvement of congenital heart disease, Fontan operation has been applied to many complicated patients in recent years. This is the first report of a child with panhypopituitarism who underwent Fontan operation. A 5-year-old boy was scheduled for Fontan operation. He previously underwent Blalock-Taussig shunt and bidirectional Glenn operations for univentricular heart with double-outlet right ventricle and pulmonary atresia. He was receiving hydrocortisone and 1-desamino-8-D-arginine vasopressin (DDAVP) for panhypopituitarism secondary to removal of craniopharyngioma performed at the age of three years...
April 2021: Journal of Anesthesia
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