Format:
Online-Ressource
ISSN:
2146-4626
Content:
Abstract: Procedural sedation in patients with congenital heart disease (CHD) is associated with significant morbidity and mortality. It is vital for the practitioner to fully understand the complexity of lesions, their hemodynamics, and the impact of medications commonly used for procedural sedation on the stability of systemic vascular resistance and pulmonary flow. According to the literature, we explain the interaction of the systemic vascular resistance and pulmonary flow in such lesions and divide them into five categories outlined in this article: (1) CHDs with left-to-right shunt with normal pulmonary arterial pressure and resistance, (2) CHD with left-to-right shunt and moderate to severe elevation of pulmonary arterial pressure with near-normal pulmonary vascular resistance, (3) CHD with pulmonary flow dependent on systemic vascular resistance, (4) patients with congenital coronary stenosis and coronary anomalies, and 5) aortic obstructive lesions.
In:
day:24
In:
month:02
In:
year:2023
In:
Journal of pediatric intensive care, [New York] : Thieme Publishers New York, 2012-, (24.02.2023), 2146-4626
Language:
English
DOI:
10.1055/s-0043-1762909
URN:
urn:nbn:de:101:1-2023041310284813233300
URL:
https://doi.org/10.1055/s-0043-1762909
URL:
https://nbn-resolving.org/urn:nbn:de:101:1-2023041310284813233300
URL:
https://d-nb.info/1286114845/34
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