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Anesthesia For Children With Congenital Heart Disease1

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Ahmed Shalabi
Ahmed Shalabi
Santé & Médecine
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CHILDREN WITH CONGENITAL HEART DISEASE George Nicolaou, MD FRCPC Department of Anesthesia & Perioperative Medicine University of Western Ontario http://www.childrensheartinstitute.org ANESTHESIA FOR
INTRODUCTION ,[object Object],[object Object],[object Object]
INCIDENCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object]
FETAL CIRCULATION ,[object Object],[object Object]
CARDIOPULMONARY CHANGES AT BIRTH ,[object Object],[object Object],[object Object]
CARDIOPULMONARY CHANGES AT BIRTH ,[object Object]
CARDIOPULMONARY CHANGES AT BIRTH ,[object Object],[object Object],[object Object],[object Object],[object Object]
CARDIOPULMONARY CHANGES AT BIRTH ,[object Object],[object Object],[object Object]
CLASSIFICATION OF CHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION OF CHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VENTRICULAR SEPTAL DEFECT
ATRIOVENTRICULAR CANAL DEFECT
L – R SHUNTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION OF CHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
R – L SHUNTS ,[object Object],[object Object],[object Object],[object Object]
GLENN SHUNT
MODIFIED BLALOCK-TAUSSIG SHUNT
TETRALOGY OF FALLOT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TETRALOGY OF FALLOT
TETRALOGY OF FALLOT ,[object Object],[object Object],[object Object],[object Object]
TETRALOGY OF FALLOT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TETRALOGY OF FALLOT ,[object Object],[object Object],[object Object],[object Object],[object Object]
EBSTEIN’S ANOMALY
CLASSIFICATION OF CHD ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION OF CHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
TOTAL ANOMALOUS PULMONARY VENOUS RETURN
TOTAL ANOMALOUS PULMONARY VENOUS RETURN
HYPOPLASTIC LEFT HEART SYNDROME
TRANSPOSITION OF GREAT VESSELS
TRUNCUS ARTERIOSUS
DOUBLE OUTLET RIGHT VENTRICLE
FONTAN PROCEDURE
NORWOOD PROCEDURE
JATENE PROCEDURE
CLASSIFICATION OF CHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION OF CHD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COARCTATION OF AORTA
COARCTATION OF AORTA
INTERUPTION OF AORTIC ARCH
COR TRIATIATUM
CLASSIFICATION OF CHD
CLASSIFICATION OF CHD
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],Anesthesiologists will encounter children with CHD for elective non-cardiac surgery at one of three stages:
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HISTORY & PHYSICAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HISTORY & PHYSICAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LABORATORY EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LABORATORY EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LABORATORY EVALUATION ,[object Object],[object Object],[object Object],[object Object]
LABORATORY EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
LABORATORY EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LABORATORY EVALUATION ,[object Object],[object Object],[object Object],[object Object]
PREMEDICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PREMEDICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MONITORING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MONITORING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC AGENTS ,[object Object],[object Object],[object Object],[object Object]
INHALATIONAL ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INHALATIONAL ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object]
INHALATIONAL ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INHALATIONAL ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object]
INHALATIONAL ANESTHETICS ,[object Object],[object Object],[object Object],[object Object]
INHALATIONAL ANESTHETICS ,[object Object],[object Object],[object Object],[object Object]
IM & IV ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object]
IM & IV ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IM & IV ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IM & IV ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IM & IV ANESTHETICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
ANESTHESIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object]
ANESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
REGIONAL ANESTHESIA &ANALGESIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],REGIONAL ANESTHESIA &ANALGESIA ,[object Object]
POSTOPERATIVE MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],POSTOPERATIVE MANAGEMENT

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