Perioperative Considerations for the Fontan Patient Requiring

Anesthesiology clinics · Sep 2020

Review

Perioperative Considerations for the Fontan Patient Requiring Noncardiac Surgery.

Children and adults with congenital heart disease undergoing noncardiac surgery are at higher risk of perioperative adverse events. Patients have significant comorbidities and syndromic associations that increase perioperative risk further. ⋯ Comprehensive multidisciplinary planning and the use of skilled and experienced teams achieve the best outcomes. The anesthesiologist is a perioperative physician charged with providing safe anesthesia care, instituting appropriate hemodynamic monitoring, and determining appropriate postoperative disposition on an individual basis.

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- Adam C Adler and Aruna T Nathan.
- Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, Houston, TX 77030, USA. Electronic address: adamcadler@gmail.com.
- Anesthesiol Clin. 2020 Sep 1; 38 (3): 531-543.
AbstractChildren and adults with congenital heart disease undergoing noncardiac surgery are at higher risk of perioperative adverse events. Patients have significant comorbidities and syndromic associations that increase perioperative risk further. The complexity of congenital heart disease requires a thorough understanding of lesion-specific pathophysiology in order to provide safe care. Comprehensive multidisciplinary planning and the use of skilled and experienced teams achieve the best outcomes. The anesthesiologist is a perioperative physician charged with providing safe anesthesia care, instituting appropriate hemodynamic monitoring, and determining appropriate postoperative disposition on an individual basis.Copyright © 2020 Elsevier Inc. All rights reserved.

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Perioperative Considerations for the Fontan Patient Requiring Noncardiac Surgery.

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