Anesthetic Considerations in Pediatric Patients With Acute Decompensated Heart Failure.

IF 1.1 Q3 ANESTHESIOLOGY Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2022-03-01 Epub Date: 2021-11-03 DOI:10.1177/10892532211044977
Roby Sebastian, Sana Ullah, Pablo Motta, Bibhuti Das, Luis Zabala
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引用次数: 1

Abstract

Acute decompensated heart failure (ADHF) in pediatrics is a significant cause for morbidity and mortality in children. Congenital heart disease and cardiomyopathy are the leading etiologies of ADHF. It is common for these children to undergo diagnostic, therapeutic, or surgical procedure under anesthesia, which may be associated with significant morbidity and mortality. The importance of preanesthetic multidisciplinary planning with all involved teams, including anesthesia, cardiology, intensive care, perfusion, and cardiac surgery, cannot be emphasized enough. In order to safely manage these patients, it is imperative for the anesthesiologist to understand the complex pathophysiological interactions between cardiopulmonary systems and anesthesia during these procedures. This review discusses the etiology, pathophysiology, clinical manifestations, and perioperative management of these patients.

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急性失代偿性心力衰竭患儿的麻醉考虑。
儿科急性失代偿性心力衰竭(ADHF)是儿童发病率和死亡率的重要原因。先天性心脏病和心肌病是ADHF的主要病因。这些儿童在麻醉下接受诊断、治疗或手术是常见的,这可能与显著的发病率和死亡率有关。麻醉前多学科规划与所有相关团队的重要性,包括麻醉、心脏病学、重症监护、灌注和心脏外科,再怎么强调也不为过。为了安全地管理这些患者,麻醉师必须了解在这些过程中心肺系统和麻醉之间复杂的病理生理相互作用。本文就其病因、病理生理、临床表现及围手术期处理进行综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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