Anesthesia for paediatric heart surgery


This chapter is dedicated to the memory of Dr Jean Claude Guex, founder of Paediatric Anesthesia at the University Hospital of Lausanne (CHUV) Switzerland.

Translated from french through a donation made by "Fondation Le petit coeur" Zurich.



Professor, Faculty of Medicine, University of Zurich Head of the Cardiovascular Anaesthesia Department,
Institute for Anasthesiology, Universitätspital Zürich (USZ) & KinderSpital Zurich, CH - 8091 Zurich
Editor in chief english version of the Cardiac Anesthesia Textbook 5


Staff Physician, Cardiac Anaesthetist Paediatrician, Anaesthesiology Department, University Hospital of Lausanne (CHUV), CH - 1011 Lausanne
Former Contractual Hospital Practitioner (CHP), Paediatric Cardiac Anaesthesia Department, Necker Hospital - Sick Children, F- 75015 Paris



Former Associate Professor, Master of Teaching and Research,Faculty of Biology and Medicine, University of Lausanne (UNIL), CH - 1005 Lausanne
Former Head of Cardiovascular Anaesthesia, Anaesthesiology Department, University Hospital of Lausanne (CHUV), CH - 1011 Lausanne
Editor in chief of the Cardiac Anesthesia Textbook 5

© BETTEX D, BOEGLI Y, CHASSOT PG, June 2008, last updated May 2018

Recommended reading

DINARDO JA, NASR VG. The pediatric cardiac anesthesia handbook. Oxford: Wiley-Blackwell, 2017, 284 p
DÖNMEZ A, YURDAKÖK O. Cardiopulmonary bypass in infants. J Cardiothorac Vasc Anesth 2014; 28:778-88
FRIESEN RH, WILLIAMS GD. Anesthetic management of children with pulmonary arterial hypertension. Pediatr Anesth 2008; 18:208-16
HONJO O, VAN ARSDELL GS. Cardiovascular procedures : surgical considerations. In : BISSONNETTE B, edit. Pediatric anesthesia. Basic principles, State of the art, Future. Shelton (CO): People’s Medical Publishing House (USA), 2011, 1589-608
IVY DD, ABMAN SH, BARST RJ, et al. Pediatric pulmonary hypertension. J Am Coll Cardiol 2013; 62:D117-26
LAKE CL, BOOKE PD, eds. Pediatric cardiac anesthesia, 4th edition. Philadelphia: Lippincott Williams & Wilkins, 2005
LEYVI G, WASNICK JD. Single-ventricle patient: pathophysiology and anesthetic management. J Cardiothorac Vasc Anesth 2010; 24:121-30
POUARD P, MAURIAT P, LABORDE N, BOURDARIAS B. Cicrulation extracorporelle en chirurgie cardiaque pédiatrique chez le nouveau-né, le nourrisson et l’enfant. In: JANVIER G, LEHOT JJ, eds. Circulation extracorporelle: principes et pratique, 2ème édition. Paris: Arnette (Groupe Liaison SA) 2004, 481-506
RIZZA A, ROMAGNOLI S, RICCI Z. Fluid status assessment and management during perioperative phase in pediatric cardiac surgery patients. J Cardiothorac Vasc Anesth 2016; 30:1085-93
STAYER SA, RUSSELL IA, MOSSAD EB, ANDROPOULOS DB. Anesthesia for congenital heart disease, 2nd edition. Oxford: Wiley-Blackwell, 2010, 656 p
WHITING D, YUKI K, DINARDO JA. Cardiopulmonary bypass in the pediatric population. Best Pract Res Clin Anaesthesiol 2015;     29:241-56


ABMAN SH, HANSMANN G, ARCHER SL, et al. Pediatric pulmonary hypertension. Guidelines from the American Heart Association and     American Thoracic Society. Circulation 2015; 132:2037-99 (voir Directives: HTP Ped 2015.pdf)
ALGHAMDI AA, SINGH SK, HAMILTON BCS. Early extubation after pediatric cardiac surgery: systematic review, meta-analysis and     evidecne-based recommendations. J Card Surg 2010; 25:586-95 (voir Directives: Extub CCV Péd.pdf)
GALIÉ N, HUMBERT M, VACHIERY JL, et al. 2015 ESC/ERS Guideline for the diagnosis and treatment of pulmonary hypertension. Eur     Heart J 2016; 37:67-119 (voir Directives: HTA Pulm ESC.pdf)
ODEGARD KC, VINCENT R, BAIJAL RG, et al. SCAI/CCAS/SPA Expert Consensus Statement for anesthesia and sedation practice: recommendations for patients undergoing diagnostic and therapeutic procedures in the pediatric and congenital cardiac catheterization laboratory. Anesth Analg 2016; 123:1201-9 (99 (voir Directives: Sédation Ped.pdf)



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