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How Should We Care for Patients with Congenital Heart Diseases Undergoing Surgical Procedures in Ambulatory Settings?
Rebecca Hamilton1, Kirsten C Odegard1, Koichi Yuki1
1Cardiac Anesthesia Division, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, USA.
Insights
Improved survival for congenital heart disease (CHD) patients means more are undergoing non-cardiac procedures. This review examines strategies for safely triaging these patients in ambulatory settings.
Area of Science:
- Cardiology
- Pediatrics
- Anesthesiology
Background:
- Congenital heart diseases (CHDs) are the most common birth anomalies.
- Increasing survival rates for CHD patients lead to more frequent non-cardiac procedures.
- Ambulatory procedures are becoming more prevalent.
Purpose of the Study:
- To review the current literature on managing patients with CHDs undergoing non-cardiac procedures.
- To consider strategies for the optimal triage of CHD patients in ambulatory settings.
Main Methods:
- Literature review of existing studies on CHD patient management for non-cardiac procedures.
- Analysis of current trends in ambulatory care.
Main Results:
- Growing population of CHD survivors require careful consideration for non-cardiac procedures.
- Need for standardized protocols for ambulatory procedure triage in CHD patients.
Conclusions:
- Effective management strategies are crucial for the safe and successful treatment of CHD patients in ambulatory settings.
- Further research and guideline development are needed to optimize patient care.
Abstract:
Congenital heart diseases (CHDs) are the most common of all congenital birth anomalies. As the survival of patients with CHDs continues to improve, this patient population is presenting for non-cardiac procedures more frequently than in the past. With ambulatory based procedures becoming increasingly common, it is critical to consider how we should best triage these patients for procedures in ambulatory settings. This paper reviews the current literature on the subject and considers strategies to guide future management.
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