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  3. Anaesthesia in Children With Congenital Heart Disease for Noncardiac Surgery

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Paediatric Anaesthesia

Tutorial 467
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Anaesthesia in Children With Congenital Heart Disease for Noncardiac Surgery

Kaitlin M. Flannery1†, Divya Raviraj2

1Pediatric Cardiac Anaesthesiology Fellow, Boston Children’s Hospital, Boston, MA, USA
2Specialist Registrar in Anaesthesia, Great Ormond Street Hospital, London, UK

Supervising Consultants: Dr. Faye M. Evans, Senior Associate in Perioperative
Anaesthesia, Boston Children’s Hospital, Boston, MA, USA, and Dr. Michelle C. White,
Consultant in Paediatric Cardiac Anaesthesia, Great Ormond Street Hospital, London, UK

†Corresponding author e-mail: Kaitlin.m.flannery@gmail.com

Published March 8, 2022

Abstract

Anesthetic management of patients with congenital heart disease presenting for noncardiac surgery is daunting and becoming more common. Perioperative management and risk stratification of these complicated patients is a necessary skill of all pediatric anesthesiologists. This tutorial utilizes a physiologic approach to these patients, reviews the data available about risk stratification, and emphasizes red flags. The tutorial ends with practice scenarios to solidify learning.

creative commons

This work by WFSA is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/