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Current perspectives on treatment of perioperative hemodynamic instability and hypotension

Denise C Joffe1, Gregory J Latham1, Faith J Ross1

  • 1Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington.

Paediatric Anaesthesia
|January 8, 2019
PubMed

Insights

Perioperative hypotension in children has many causes. Treatment requires personalized approaches considering anatomy, physiology, and specific triggers for effective hemodynamic management.

Area of Science:

  • Pediatric Anesthesiology
  • Cardiovascular Physiology

Background:

  • Hypotension is a common complication during the perioperative period in pediatric patients.
  • Identifying the specific etiology of hypotension is crucial for effective management.

Purpose of the Study:

  • To outline the diverse causes of perioperative hypotension in children.
  • To emphasize the importance of tailored treatment strategies based on individual patient factors.

Main Methods:

  • Review of common and specific etiologies of hypotension in pediatric surgical patients.
  • Discussion of individualized treatment approaches, including pharmacologic interventions.

Main Results:

  • Numerous factors can contribute to perioperative hypotension in pediatric cases.
  • Treatment necessitates a personalized approach, considering patient-specific anatomy and physiology.
  • Both routine and lesion-specific causes must be evaluated.

Conclusions:

  • Effective management of pediatric perioperative hypotension requires a comprehensive understanding of potential causes.
  • Tailored therapeutic strategies, including pharmacologic combinations, are essential for achieving desired hemodynamic effects.

Keywords:
congenital heart diseasehypotensionpediatric cardiac anesthesiapediatric cardiac intensive carepediatric cardiac surgery

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