caa a22 4500 44582624X CHVBK 20180317145300.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00246-010-9832-4 doi (NATIONALLICENCE)springer-10.1007/s00246-010-9832-4 General Anesthesia for Children With Severe Heart Failure [Elektronische Daten] [Timothy Murphy, Jon Smith, Michael Ranger, Simon Haynes] Severe heart failure in children is uncommon. The anesthetic management of children with this condition is challenging. The authors aimed to identify the frequency with which anesthesia for short noncardiac surgical procedures or investigations was complicated by life-threatening hemodynamic instability and to describe the anesthetic techniques used. This study retrospectively reviewed the anesthetic charts and notes of children admitted acutely with a diagnosis of severe heart failure (fractional shortening of 15% or less) who received general anesthesia for noncardiac surgical or diagnostic interventions during the 3-year period from September 2005 to September 2008. In this study, 21 children received a total of 28 general anesthetics. Two patients (10%) experienced a cardiac arrest, and both required unplanned admission to the authors' pediatric intensive care unit (PICU) postoperatively. A variety of anesthetic techniques was used. In 27 (96%) of the 28 cases, perioperative inotropic support was required. General anesthesia for children with severe heart failure is associated with a significant complication rate and should be administered by anesthetists familiar with managing all aspects of circulatory support for children in an appropriate setting. Springer Science+Business Media, LLC, 2010 General anesthesia nationallicence Cardiac arrest nationallicence Heart failure nationallicence Pediatrics nationallicence Murphy Timothy Department of Paediatric Cardiothoracic Anesthesia, Freeman Hospital, High Heaton, NE7 7DN, Newcastle-Upon-Tyne, UK aut Smith Jon Department of Paediatric Cardiothoracic Anesthesia, Freeman Hospital, High Heaton, NE7 7DN, Newcastle-Upon-Tyne, UK aut Ranger Michael Department of Paediatric Cardiothoracic Anesthesia, Mater Health Services, 4101, Raymond Terrace, South Brisbane, QLD, Australia aut Haynes Simon Department of Paediatric Cardiothoracic Anesthesia, Freeman Hospital, High Heaton, NE7 7DN, Newcastle-Upon-Tyne, UK aut Pediatric Cardiology Springer-Verlag 32/2(2011-02-01), 139-144 0172-0643 32:2<139 2011 32 246 https://doi.org/10.1007/s00246-010-9832-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-010-9832-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Murphy Timothy Department of Paediatric Cardiothoracic Anesthesia, Freeman Hospital, High Heaton, NE7 7DN, Newcastle-Upon-Tyne, UK aut NATIONALLICENCE 700 1- Smith Jon Department of Paediatric Cardiothoracic Anesthesia, Freeman Hospital, High Heaton, NE7 7DN, Newcastle-Upon-Tyne, UK aut NATIONALLICENCE 700 1- Ranger Michael Department of Paediatric Cardiothoracic Anesthesia, Mater Health Services, 4101, Raymond Terrace, South Brisbane, QLD, Australia aut NATIONALLICENCE 700 1- Haynes Simon Department of Paediatric Cardiothoracic Anesthesia, Freeman Hospital, High Heaton, NE7 7DN, Newcastle-Upon-Tyne, UK aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/2(2011-02-01), 139-144 0172-0643 32:2<139 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer