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KMID : 0377819880080060687
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Diagnosis and Treatment
1988 Volume.8 No. 6 p.687 ~ p.693
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ANESTHESIA FOR NONCARDIAC SURGERY IN THE PEDIATRIC PATIENT WITH CONGENITAL HEART DISEASE
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Abstract
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Though congenital heart disease is often viewed as a ´subiect reserved for those practitioners who are highly specialized, this view is not true. All anesthesiologists will care for children with congenital heart disease undergoing noncardiac surgery.
The anesthectic management of the child with congenital heart disease requires that the anesthesiologist have an understanding of normal and abnormal cardiovascular anatomy and physiology, and a facility with the principhes of pediatric anesthesia.
Pediatric .anesthesia can be performed safely to a specific child with congenital heart disease only when the cardiovascular implications are recognized.
In children with congenital heart disease, selection of particular anesthetic technique is less important as compared with careful titration of an adjusted drug dose and observation of the hemodynamic responses.
Whatever anesthetic is selected, the goal remains control of hemodynamic performance within the physiologic limits imposed by the cardiac lesion and the state of compensation of the child at the time of anesthesia and surgery.
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