congenital heart disease and anaesthesia ppt

How common is congenital heart disease (CHD)?
Congenital heart disease (CHD) is present in approximately 6 to 19 of 1000 live births [ 1-3 ]. In the United States, approximately 1,000,000 pediatric and adult patients have CHD, with a growing number surviving into middle age and beyond [ 4-6 ]. Many of these patients require anesthetic care for either cardiac or noncardiac surgery.
Are congenital heart diseases at increased risk for complications during anaesthesia?
Indian J Anaesth. 2017 Sep; 61 (9): 744–752. Patients with congenital heart diseases (CHDs) are at increased risk of developing complications during anaesthesia. Improvements in medical and surgical management in recent decades have resulted in significantly more children with CHD surviving to adulthood.
Can a woman with high-risk heart disease have anesthesia during labor?
Anesthetic management during labor and delivery for women with congenital and other high-risk heart disease is discussed separately. (See "Anesthesia for labor and delivery in high-risk heart disease: General considerations" and "Anesthesia for labor and delivery in high-risk heart disease: Specific lesions" .)
Do neonates with congenital heart disease need sedation and analgesia?
For neonates with congenital heart disease, the use of sedation and analgesia in the preoperative period is mainly reserved for the management of pain during noxious procedures.

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