The Adult With Fontan Physiology: Systematic Approach to Perioperative Management for Noncardiac Surgery

2011 ◽  
Vol 25 (2) ◽  
pp. 320-334 ◽  
Author(s):  
Susan S. Eagle ◽  
Suanne M. Daves
Keyword(s):  
Systematic Approach ◽  
Perioperative Management ◽  
Noncardiac Surgery ◽  
Fontan Physiology

The Perioperative Management of a Patient With Fontan Physiology for Pheochromocytoma Resection

2008 ◽  
Vol 22 (5) ◽  
pp. 748-750 ◽  
Author(s):  
Koichi Yuki ◽  
Robert C. Shamberger ◽  
Francis X. McGowan ◽  
Christian Seefelder
Keyword(s):  
Perioperative Management ◽  
Fontan Physiology

Single-Ventricle Physiology

2018 ◽  
Author(s):  
Erin A. Gottlieb ◽  
David F. Vener
Keyword(s):  
Positive Pressure Ventilation ◽  
Single Ventricle ◽  
Noncardiac Surgery ◽  
Basic Knowledge ◽  
Positive Pressure ◽  
Single Ventricle Physiology ◽  
Anatomy And Physiology ◽  
Fontan Physiology ◽  
Single Ventricle Palliation ◽  
Blalock Taussig Shunt

Pediatric and adult patients with single ventricle physiology may present for elective and emergent procedures, and it is critical for pediatric anesthesiologists to be familiar with the stages of palliation. In addition, basic knowledge of how to manage each stage perioperatively is required to avoid morbidity and mortality. This chapter describes the anatomy and physiology of and ventilation and oxygenation strategies for each stage of single ventricle palliation. It also discusses the risks associated with anesthetizing the single-ventricle patient with a modified Blalock-Taussig shunt, the rationale for performing elective noncardiac surgery during the Glenn stage of the single ventricle pathway, and the effects of positive pressure ventilation on the patient with Fontan physiology. A perioperative plan for caring for single-ventricle patients undergoing noncardiac procedures is also covered.

Management of Children with Congenital Heart Disease for Noncardiac Surgery

2018 ◽  
Author(s):  
Dean B. Andropoulos
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Systematic Approach ◽  
Preoperative Evaluation ◽  
Noncardiac Surgery ◽  
Inotropic Support ◽  
Surgical Approaches ◽  
Endocarditis Prophylaxis ◽  
Anesthetic Complications

Congenital heart disease (CHD) patients are increasingly presenting for noncardiac surgery, and the anesthesiologist must possess an understanding of the major classes of CHD and their pathophysiology, as well as surgical approaches for correction or palliation. A thorough preoperative evaluation and anesthetic plan, including invasive monitoring, inotropic support, blood transfusion, endocarditis prophylaxis, pacemaker/defibrillator functioning, and intensive care unit admission must be developed, and include a multidisciplinary team. Each patient has a unique pathophysiology and a systematic approach to understanding hemodynamic consequences, and developing hemodynamic goals for the anesthetic will improve the potential to minimize anesthetic complications and ensure the best possible outcomes.

PERIOPERATIVE MANAGEMENT OF PATIENTS WITH BRADYARRHYTHMIAS UNDERGOING NONCARDIAC SURGERY

2017 ◽  
pp. 5-18
Author(s):  
В.В. Мясникова ◽  
Н.Б. Карахалис ◽  
Т.С. Мусаева
Keyword(s):  
Perioperative Management ◽  
Noncardiac Surgery
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