[Non-cardiac surgery in adults with congenital heart defects : Most important parameters in anesthesia management].
Nichtkardiale Eingriffe bei Erwachsenen mit angeborenen Herzfehlern : Wichtigste Parameter des anästhesiologischen Managements.
Echocardiography
Hemodynamics
Obstruction
Risk assessment
Shunt
Journal
Der Anaesthesist
ISSN: 1432-055X
Titre abrégé: Anaesthesist
Pays: Germany
ID NLM: 0370525
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
pubmed:
27
3
2019
medline:
12
6
2020
entrez:
27
3
2019
Statut:
ppublish
Résumé
Adults with congenital heart disease (CHD) represent an increasing proportion of patients undergoing non-cardiac surgery. To identify the most important parameters for management of anesthesia. Evaluation and discussion of the current original research and guideline recommendations. There are approximately 300,000 patients with CHD living in Germany. The preoperative evaluation is an important influencing factor affecting perioperative morbidity and mortality. Echocardiography is the key instrument for identifying cardiac conditions predisposing to adverse events. The subdivision of CHD into lesions with left-to-right shunt, obstructive lesions and complex congenital heart diseases facilitates the classification of the pathophysiology. Decisive for the perioperative outcome of patients with CHD are the identification of high-risk patients, understanding of the individual situation with respect to the underlying pathophysiology and the intraoperative maintenance of cardiac output.
Sections du résumé
BACKGROUND
Adults with congenital heart disease (CHD) represent an increasing proportion of patients undergoing non-cardiac surgery.
OBJECTIVE
To identify the most important parameters for management of anesthesia.
MATERIAL AND METHODS
Evaluation and discussion of the current original research and guideline recommendations.
RESULTS
There are approximately 300,000 patients with CHD living in Germany. The preoperative evaluation is an important influencing factor affecting perioperative morbidity and mortality. Echocardiography is the key instrument for identifying cardiac conditions predisposing to adverse events. The subdivision of CHD into lesions with left-to-right shunt, obstructive lesions and complex congenital heart diseases facilitates the classification of the pathophysiology.
CONCLUSION
Decisive for the perioperative outcome of patients with CHD are the identification of high-risk patients, understanding of the individual situation with respect to the underlying pathophysiology and the intraoperative maintenance of cardiac output.
Identifiants
pubmed: 30911773
doi: 10.1007/s00101-019-0575-1
pii: 10.1007/s00101-019-0575-1
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
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