[PECULIARITIES OF ANESTHESIA AND MECHANICAL VENTILATION IN CHILDREN WITH SURGICAL PATHOLOGY AND RELATED CONGENITAL...

Area of Science:

• Pediatric Anesthesiology
• Congenital Heart Disease
• Critical Care Medicine

Background:

• Increasing incidence of pediatric multiple malformations.
• Frequent need for urgent surgical intervention in critically ill children.
• Congenital heart diseases (CHD) are common comorbidities.

Purpose of the Study:

• To review anesthetic management features for surgical interventions in children with severe congenital heart disease (CHD).
• To address the impact of hemodynamic changes in CHD on mechanical ventilation.
• To mitigate potentially undesirable consequences during surgery.

Main Methods:

• Literature review focusing on pediatric anesthesia and CHD.
• Analysis of hemodynamic alterations in children with severe CHD.
• Evaluation of mechanical ventilation parameters in this patient population.

Main Results:

• Specific hemodynamic changes in children with CHD influence mechanical ventilation.
• Anesthetic management must account for these unique physiological challenges.
• Careful perioperative management is crucial for favorable outcomes.

Conclusions:

• Anesthesia for surgical procedures in children with severe CHD requires specialized approaches.
• Understanding and managing hemodynamic instability is paramount.
• Optimizing mechanical ventilation strategies is essential for patient safety.