Paediatric anaesthesia
-
Paediatric anaesthesia · May 2019
ReviewRisk associated with anesthesia for non-cardiac surgery in children with congenital heart disease.
Database analysis has indicated that perioperative cardiac arrest occurs with increased frequency in children with congenital heart disease. Several case series and large datasets from ACS NSQIP have identified subgroups at the highest risk. ⋯ How hospitals and health care systems apply these guidelines to provide safe care for these challenging patient groups requires the application of modern quality improvement techniques. Each institution should develop a system which reflects local expertise and resources.
-
Paediatric anaesthesia · May 2019
ReviewAnesthetist-delivered intraoperative transesophageal echocardiography in pediatric cardiac surgery.
This article reviews the evidence for anesthetist-delivered perioperative transesophageal echocardiography for children undergoing cardiac surgery. It addresses the additional issues of training, developing practice, accreditation, and the requirement for collaboration with pediatric cardiologists, surgeons and other members of the perioperative team. Finally an overview of the potential structure of an anesthetist-delivered perioperative transesophageal echocardiography service is presented.
-
Paediatric anaesthesia · May 2019
ReviewRole of echocardiography in the assessment of right ventricular function in the pediatric population.
This review article summarizes the use of echocardiography in the evaluation of the right ventricle with special emphasis on pediatric patients. After reading this article, anesthesiologists will develop a better understanding of the anatomy and echocardiographic parameters for hemodynamic and functional assessment of the right ventricle. This knowledge will assist with the perioperative management of patients with cardiopulmonary disorder.