• Paediatric anaesthesia · Aug 2024

    Review

    Error traps in patients with congenital heart disease undergoing noncardiac surgery.

    • Megan Albertz, Richard J Ing, Lawrence Schwartz, and Manchula Navaratnam.
    • Department of Anesthesiology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA.
    • Paediatr Anaesth. 2024 Aug 2.

    AbstractPatients with congenital heart disease are living longer due to improved medical and surgical care. Congenital heart disease encompasses a wide spectrum of defects with varying pathophysiology and unique anesthetic challenges. These patients often present for noncardiac surgery before or after surgical repair and are at increased risk for perioperative morbidity and mortality. Although there is no singular safe anesthetic technique, identifying potential error traps and tailoring perioperative management may help reduce morbidity and mortality. In this article, we discuss five error traps based on the collective experience of the authors. These error traps can occur when providing perioperative care to patients with congenital heart disease for noncardiac surgery and we present potential solutions to help avoid adverse outcomes.© 2024 John Wiley & Sons Ltd.

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