The anesthetic management of children with pulmonary hypertension in the cardiac catheterization laboratory

Mark D Twite; Robert H Friesen

doi:10.1016/j.anclin.2013.10.005

The anesthetic management of children with pulmonary hypertension in the cardiac catheterization laboratory

Anesthesiol Clin. 2014 Mar;32(1):157-73. doi: 10.1016/j.anclin.2013.10.005. Epub 2013 Dec 17.

Authors

Mark D Twite¹, Robert H Friesen²

Affiliations

¹ Department of Anesthesiology, University of Colorado School of Medicine, CO, USA. Electronic address: Mark.Twite@childrenscolorado.org.
² Department of Anesthesiology, University of Colorado School of Medicine, CO, USA.

PMID: 24491655
DOI: 10.1016/j.anclin.2013.10.005

Abstract

Children need cardiac catheterization to establish the diagnosis and monitor the response to treatment when undergoing drug therapy for the treatment of pulmonary arterial hypertension (PAH). Children with PAH receiving general anesthesia for cardiac catheterization procedures are at significantly increased risk of perioperative complications in comparison with other children. The most acute life-threatening complication is a pulmonary hypertensive crisis. It is essential that the anesthesiologist caring for these children understands the pathophysiology of the disease, how anesthetic medications may affect the patient's hemodynamics, and how to manage an acute pulmonary hypertensive crisis.

Keywords: Anesthesia; Cardiac catheterization laboratory; Children; Pulmonary hypertension.

Publication types

Review

MeSH terms

Adolescent
Airway Management
Anesthesia / methods*
Anesthesia Recovery Period
Anesthetics
Cardiac Catheterization / methods*
Child
Child, Preschool
Humans
Hypertension, Pulmonary / classification
Hypertension, Pulmonary / complications*
Hypertension, Pulmonary / physiopathology
Hypertension, Pulmonary / therapy
Infant
Infant, Newborn

Substances

Anesthetics