Intra-Operative Discussion Topics for Pediatric Cardiovascular Anesthesia Rotation

 

 

1.                  Pharmacology, indications, contraindications, and dosages of nitric oxide (NO), inotropes, and vasodilators.

 

2.                  Physiological considerations of fetal circulation and the pathophysiology, anesthetic considerations, and management of patient with persistent pulmonary hypertension (PPHN) new born.

 

3.                  Evaluation and management of patient with a pacemaker or requires cardiac pacing.

 

4.                  Anesthetic considerations and management of patient for cardiopulmonary bypass including blood gas management (Alpha-Stat and pH-Stat).

 

5.                  Anesthetic considerations and management of patient for profound hypothermic circulatory arrest.

 

6.                  Indications, contraindications, and issues related to ultrafiltration.

 

7.                  Peri-operative considerations and management of bleeding and coagulopathy including pharmacologic approaches – Amicar and Aprotinin.

 

8.                  Anesthetic considerations and management of patient with peri-operative arrhythmias.

 

9.                  Anesthetic considerations and management of patient with congenital heart disease for non-cardiac surgery.

 

10.              Issues and anesthetic considerations of patients for procedures in the Cath Lab.

 

11.              Regional anesthesia in pediatric cardiac patients – indications, drugs, doses, toxicity, and fast tracking.

 

12.              Cardiac anatomical defects and peri-operative management:

 

a.                   Atrial septal defect.

 

b.                  Ventricular septal defect.

 

c.                   Coarctatoin of the aorta.

 

d.                  Patent ductus arteriosus.

 

e.                   Trisomy 21 and AV canal/other heart disease.

 

f.                    Tetralogy of fallot with or without patresia and major aortopulmonary collateral arteries (MAPCAs).

 

g.                   Transposition of the great vessels.

 

h.                   Truncus arteriosus.

 

i.                     Total  anomalous pulmonary venous connection.

 

j.                    Hypoplastic left heart syndrome and other single ventricle palliations.