The patient with congenital heart disease in ambulatory surgery.

Gert-Jan Eerdekens, Dieter Van Beersel, Steffen Rex, Marc Gewillig, An Schrijvers, Layth Al Tmimi

Journal: Best practice & research. Clinical anaesthesiology 2023;37(3):421-436

PMID: 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.

Address: Department of Anesthesiology, University Hospitals Leuven, Herestraat 49, B-3000, Leuven, Belgium. Electronic address: [email protected].; Department of Anesthesiology, University Hospitals Leuven, Herestraat 49, B-3000, Leuven, Belgium. Electronic address: [email protected].; Department of Anesthesiology, University Hospitals Leuven, Herestraat 49, B-3000, Leuven, Belgium; Department of Cardiovascular Sciences, KU Leuven - University of Leuven, B-3000, Leuven, Belgium.; Department of Cardiovascular Sciences, KU Leuven - University of Leuven, B-3000, Leuven, Belgium; Department of Pediatric Cardiology, University Hospitals Leuven, Herestraat 49, B-3000, Leuven, Belgium. Electronic address: [email protected].; Department of Anesthesiology, University Hospitals Leuven, Herestraat 49, B-3000, Leuven, Belgium. Electronic address: [email protected].; Department of Anesthesiology, University Hospitals Leuven, Herestraat 49, B-3000, Leuven, Belgium; Department of Cardiovascular Sciences, KU Leuven - University of Leuven, B-3000, Leuven, Belgium. Electronic address: [email protected].

DOI: 10.1016/j.bpa.2022.11.006

Link outs

Free resources

Medical:

https://medlineplus.gov/congenitalheartdefects.htm...

MeSH Terms: Humans, Ambulatory Surgical Procedures, Heart Defects, Congenital, Anesthesiologists, Patients