Abstract
A key nuance when performing x-ray surgery or diagnostic procedures in patients with congenital heart disease (CHD) is the use of drugs with minimal effect on hemodynamic parameters. This is due to the need to obtain the most reliable results, their assessment and interpretation. An ideal anesthetic should cause rapid and smooth induction, provide analgesia, and have a short half-life. For minimally invasive procedures in children with CHD, there is no generally accepted scheme for conducting an anesthesiological manual. Previously, long-acting drugs such as ketamine or midazolam were used. The tactic of intravenous anesthesia with tracheal intubation was replaced by less deep sedation with propofol or dexmedetomidine with preserved spontaneous breathing, or inhalation anesthesia with sevoflurane using a laryngeal mask. The driving force in the development of new strategies for anaesthetic provision is the preservation of higher mental functions and the quality of life of patients at the initial level. The purpose of this review is to review current anesthetics, application regimens, and possible combinations for providing sedation in children with CHD.
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About the authors
- Gleb E. Gorbunov, Anesthesiologist-Intensivist, ORCID
- Mikhail M. Rybka, Dr. Med. Sc., Head of Department,
ORCID
