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Anasthesiol Intensivmed Notfallmed Schmerzther · Nov 2007
Review[Anesthesia in children with congenital heart disease].
- Peter Dütschke, Jens Scheewe, and Berthold Bein.
- Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel. Peter.Duetschke@uk-sh.de
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2007 Nov 1; 42 (11): 804-13.
AbstractAnesthesiologists involved in the care of children with congenital heart disease (CHD) have to understand the pathophysiology of each cardiac lesion and anticipate the impact of the planned procedure. Often the dimished margin of hemodynamic stability determines the guidelines of care. In children with CHD maintainance of the homeostasis during anesthesia for a wide variety of procedures is the anesthesiologist's challenge. Left-to-right shunting means a volume load to the left ventricle frequently combined with pulmonary hypertension. Right-to-left shunting leads to a central cyanosis.
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