The patient with congenital heart disease in ambulatory surgery.
Best Pract Res Clin Anaesthesiol
; 37(3): 421-436, 2023 Sep.
Article
en En
| MEDLINE
| ID: mdl-37938087
ABSTRACT
The number of patients with congenital heart disease (CHD) undergoing ambulatory surgery is increasing. Deciding whether a CHD patient is suitable for an ambulatory procedure is still challenging. Several factors must be considered, including the type of planned procedure, the complexity of the underlying pathology, the American Society of Anesthesiologists' Physical Status classification of the patient, and other patient-specific factors, including comorbidity, chronic complications of CHD, medication, coagulation disorders, and issues related to the presence of a pacemaker (PM) or cardioverter-defibrillator. Numerous studies reported higher perioperative mortality and morbidity rates in surgical patients with CHD than non-CHD patients. However, most of these studies were conducted in a cohort of hospitalized patients and may not reflect the ambulatory setting. The current review aims to provide the anesthesiologist with an overview and practical recommendations on selecting and managing a CHD patient scheduled for an ambulatory procedure.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Ambulatorios
/
Cardiopatías Congénitas
Límite:
Humans
Idioma:
En
Revista:
Best Pract Res Clin Anaesthesiol
Asunto de la revista:
ANESTESIOLOGIA
Año:
2023
Tipo del documento:
Article