• Der Anaesthesist · Apr 2019

    [Non-cardiac surgery in adults with congenital heart defects : Most important parameters in anesthesia management].

    • C Massoth, A Zarbock, and M Wenk.
    • Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, A1, 48149, Münster, Deutschland. manuelwenk@uni-muenster.de.
    • Anaesthesist. 2019 Apr 1; 68 (4): 245-258.

    BackgroundAdults with congenital heart disease (CHD) represent an increasing proportion of patients undergoing non-cardiac surgery.ObjectiveTo identify the most important parameters for management of anesthesia.Material And MethodsEvaluation and discussion of the current original research and guideline recommendations.ResultsThere are approximately 300,000 patients with CHD living in Germany. The preoperative evaluation is an important influencing factor affecting perioperative morbidity and mortality. Echocardiography is the key instrument for identifying cardiac conditions predisposing to adverse events. The subdivision of CHD into lesions with left-to-right shunt, obstructive lesions and complex congenital heart diseases facilitates the classification of the pathophysiology.ConclusionDecisive for the perioperative outcome of patients with CHD are the identification of high-risk patients, understanding of the individual situation with respect to the underlying pathophysiology and the intraoperative maintenance of cardiac output.

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