Abstract
Surgery in pediatric patients with congenital heart disease presents unique challenges due to the complexity of heart disease and the vulnerability of these patients. Therefore, anesthesia for these patients requires a careful and thorough approach to ensure the safety and success of the surgical procedure. Surgical harmony, characterized by effective collaboration between the medical team, plays a crucial role in this context, allowing for adequate coordination of care and minimization of risks. Objective: To highlight the importance of an integrated and careful approach in the administration of anesthesia in pediatric patients with heart disease undergoing surgical procedures. Methodology: The Cochrane, Scielo and Medline databases were used, searching for articles published between 2020 and 2023, in Portuguese or English. Final Considerations: The search for surgical harmony in pediatric procedures in patients with heart disease is essential to ensure the safety and success of the procedure. Therefore, meticulous attention to detail when administering anesthesia, considering the physiological and anatomical particularities of these patients, is essential to minimize risks and guarantee a positive result.
References
Aliman AC, Piccioni M de A, Piccioni JL, Oliva JL, Auler Júnior JOC. Anestesia intraóssea em estudo hemodinâmico em criança cardiopata. Revista Brasileira de Anestesiologia [Internet]. 2011 [cited 2024 Jan 8];61(1):41–9. Available from: https://repositorio.usp.br/item/002173178
Almeida JP, João PRD, Sylvestre L de C. Impact of the use of nephrotoxic drugs in critically ill pediatric patients. Revista Brasileira de Terapia Intensiva [Internet]. 2020 [cited 2024 Jan 14];32(4):557–63. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7853678/
Grogan K, Thibault C, Moorthy G, Prodell J, Nicolson SC, Zuppa A. Dose Escalation Pharmacokinetic Study of Intranasal Atomized Dexmedetomidine in Pediatric Patients With Congenital Heart Disease. Anesthesia & Analgesia. 2022 Apr 21;136(1):152–62.
Mai A. Rev SOCERJ Vol XIII N KEY-WORDS Anaesthetic tecnique Anaesthetic drugs Postoperative course I AVALIAÇÃO PRÉ-OPERATÓRIA [Internet]. 2000 [cited 2024 Jan 8]. Available from: http://sociedades.cardiol.br/socerj/revista/2000_02/a2000_v13_n02_art03.pdf
Manica JL, Duarte VO, Ribeiro M, Hartley A, Petraco R, Pedra C, et al. Padronizando a Exposição à Radiação durante o Cateterismo Cardíaco em Crianças com Cardiopatia Congênita: Dados de um Registro Multicêntrico Brasileiro. Arquivos Brasileiros de Cardiologia. 2020 Oct 9;
Márquez-Murillo MF, Chávez-Gutiérrez CA, Díaz-Tostado S, Bustillos-García GA, Gómez-Flores J, Nava-Townsend S. Desfibrilador subcutáneo. Primeros casos en el Instituto Nacional de Cardiología, incluyendo dos pacientes pediátricos. Archivos de cardiología de México [Internet]. 2023 Sep 27;93(3). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406479/
Scarparo VA, Gorczak R, Valandro MA. Anestesia em pacientes de risco: um abordagem anestésica aos pacientes cardiopatas, nefropatas, hepatopatas, pediátricos e senis. Vet foco [Internet]. 2020 [cited 2024 Jan 8];12–26. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/vti-27400
Schunck E da R, Schaan CW, Pereira GA, Rosa NV, Normann TC, Ricachinevsky CP, et al. Functional deficit in children with congenital heart disease undergoing surgical correction after intensive care unit discharge. Revista Brasileira De Terapia Intensiva [Internet]. 2020 Jun 1 [cited 2024 Jan 15];32(2):261–7. Available from: https://pubmed.ncbi.nlm.nih.gov/32667453/
Sérgio Bernardo Tenório, Cumino DO, Garcia DB. Anestesia para o recém-nascido submetido a cirurgia cardíaca com circulação extracorpórea. Revista Brasileira De Anestesiologia. 2005 Feb 1;55(1):118–34.
Valencia-Arango LM, Angélica Paola Fajardo-Escolar, Juan Camilo Segura-Salguero, Sáenz‐Quispe S, Rincón-Restrepo C, Posada A, et al. Manejo anestésico de neonatos submetidos a cateterismo cardíaco diagnóstico e terapêutico: uma revisão sistemática da literatura. Revista Brasileira De Anestesiologia. 2020 May 1;
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Camilla Bandeira Oliveira Coelho , Rafael Pinto Nogueira , Carlos Augusto da Conceição Sena Filho, Ana Laura De Souza Ribas , Leonardo Martins Godinho , Leonardo Cavalcante de Carvalho, Hugo Eliazar Ferreira , Daniel Martins Reis Calixto , Washington Luiz do Nascimento, William Ferreira de Carvalho , Mariana Delgado Santos Buarque , Mariana Fidelis da Silva Machado