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13 results

  • Chapter 41 - Pulmonary Hypertension and Congenital Heart Disease

  • from Section 7 - Miscellaneous Lesions and Syndromes
  • Edited by Laura K. Berenstain, James P. Spaeth
  • Book:
    Congenital Cardiac Anesthesia
    Published online:
    09 September 2021
    Print publication:
    16 September 2021, pp 314-322

  • Summary

    The risk of perioperative morbidity and mortality is increased in patients with pulmonary hypertension regardless of the procedure. This is particularly true for patients with multifactorial pulmonary hypertension. We present such a patient here with a history of Down syndrome and repaired congenital heart disease who is scheduled to undergo an elective tympanoplasty. Anesthetic issues relevant to the care of a patient with Down syndrome, atrioventricular septal defect, and pulmonary hypertension are discussed, with a focus on assessment and intraoperative planning.

  • Chapter 70 - Ventricular Assist Devices

  • Edited by Adam C. Adler, Arvind Chandrakantan, Ronald S. Litman
  • Book:
    Case Studies in Pediatric Anesthesia
    Published online:
    30 November 2019
    Print publication:
    05 December 2019, pp 320-327

  • Summary

    This chapter provides an excellent and in-depth discussion on the complexities associated with caring for children with ventricular assist device support. The author provides a thorough analysis of the available support devices in children based on the patients’ indication for support. perioperative management algorithms for patients supported by the continuous flow devices and Berlin devices are suggested. The perioperative approach for these patients is reviewed in detail with respect to VAD/anesthesia interaction.