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Anesthetic Management in Adults with Congenital Heart Disease

Jon S Andrews1, Nazish K Hashmi2

  • 1Division of Pediatric Anesthesiology, DUMC, Duke University Hospital, Box 3094, Durham, NC, 27710, USA. jon.andrews@duke.edu.

Current Cardiology Reports
|January 26, 2022
PubMed

Insights

Adults with congenital heart disease (ACHD) require specialized anesthetic care due to complex cardiac and extracardiac issues. A multidisciplinary approach involving expert anesthesiologists is crucial for safe management.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Adult Congenital Heart Disease

Background:

  • Adults with congenital heart disease (ACHD) represent a growing patient population with unique anesthetic needs.
  • ACHD presents complex cardiac and extracardiac manifestations impacting perioperative management.
  • Existing guidelines emphasize a multidisciplinary, team-based approach to ACHD care.

Purpose of the Study:

  • To review and summarize special considerations for anesthetic management in adults with congenital heart disease.
  • To highlight the importance of understanding ACHD pathophysiology and extracardiac manifestations for anesthesiologists.

Main Methods:

  • This is a review article.
  • It synthesizes current guidelines and expert recommendations for anesthetic management in ACHD.

Main Results:

  • ACHD patients often require lifelong anesthetic care for multiple procedures.
  • Perioperative implications of ACHD necessitate tailored anesthetic strategies.
  • A multidisciplinary team approach, including cardiac anesthesiologists, is essential for optimal outcomes.

Conclusions:

  • Safe anesthetic management in ACHD hinges on a comprehensive, multidisciplinary strategy.
  • Anesthesiologists and centers with specialized ACHD expertise should be consulted.
  • Thorough understanding of ACHD pathophysiology and extracardiac issues is paramount for effective anesthetic care.
Abstract

Keywords:
ACHDCardiac anesthesiaCongenital heart diseaseExtra-cardiac manifestations of ACHD

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