caa a22 4500 445374462 CHVBK 20180317142958.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00540-010-1081-4 doi (NATIONALLICENCE)springer-10.1007/s00540-010-1081-4 Anesthetic management of noncardiac surgery for patients with single ventricle physiology [Elektronische Daten] [Koichi Yuki, Alfonso Casta, Shoichi Uezono] Patients with congenital heart diseases are a growing population, and noncardiac surgeries will become an important health care issue. Patients with single ventricle physiology are a particularly challenging population who will undergo staged, palliative repair toward a final step of Fontan circulation. Although Fontan surgery creates a serial circulation in which the ventricle pumps blood to the systemic circuit, pulmonary blood flow occurs without a dedicated ventricle. Despite progress in outcomes, this abnormal circulation remains associated with various co-morbidities such as ventricular dysfunction, arrhythmias, protein losing enteropathy, and plastic bronchitis. Health care professionals must prepare for these patients to present to noncardiac surgery at any stage of intervention, possibly with complications. Given that staged, palliative repair has undergone multiple modifications, patients who present for surgery can vary in types and timing of the repair. Anesthesiologists who care for them must be familiar with perioperative issues to optimize outcomes, especially because congenital heart disease is a risk factor for increased mortality for noncardiac surgery. Japanese Society of Anesthesiologists, 2010 Congenital heart disease nationallicence Single ventricle physiology nationallicence Noncardiac surgery nationallicence Anesthesia nationallicence Yuki Koichi Department of Anesthesiology, Perioperative and Pain Medicine, Childrens Hospital Boston, 300 Longwood Avenue, Bader 3, 02115, Boston, MA, USA aut Casta Alfonso Department of Anesthesiology, Perioperative and Pain Medicine, Childrens Hospital Boston, 300 Longwood Avenue, Bader 3, 02115, Boston, MA, USA aut Uezono Shoichi Department of Anesthesiology, Jikei University, Tokyo, Japan aut Journal of Anesthesia Springer Japan 25/2(2011-04-01), 247-256 0913-8668 25:2<247 2011 25 540 https://doi.org/10.1007/s00540-010-1081-4 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-010-1081-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yuki Koichi Department of Anesthesiology, Perioperative and Pain Medicine, Childrens Hospital Boston, 300 Longwood Avenue, Bader 3, 02115, Boston, MA, USA aut NATIONALLICENCE 700 1- Casta Alfonso Department of Anesthesiology, Perioperative and Pain Medicine, Childrens Hospital Boston, 300 Longwood Avenue, Bader 3, 02115, Boston, MA, USA aut NATIONALLICENCE 700 1- Uezono Shoichi Department of Anesthesiology, Jikei University, Tokyo, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/2(2011-04-01), 247-256 0913-8668 25:2<247 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer