Anesthetic Considerations in Pediatric Patients With Acute Decompensated Heart Failure

Roby Sebastian, Sana Ullah, Pablo Motta, Bibhuti B Das, Luis Zabala

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Acute decompensated heart failure (ADHF) in pediatrics is a significant cause for morbidity and mortality in children. Congenital heart disease and cardiomyopathy are the leading etiologies of ADHF. It is common for these children to undergo diagnostic, therapeutic, or surgical procedure under anesthesia, which may be associated with significant morbidity and mortality. The importance of preanesthetic multidisciplinary planning with all involved teams, including anesthesia, cardiology, intensive care, perfusion, and cardiac surgery, cannot be emphasized enough. In order to safely manage these patients, it is imperative for the anesthesiologist to understand the complex pathophysiological interactions between cardiopulmonary systems and anesthesia during these procedures. This review discusses the etiology, pathophysiology, clinical manifestations, and perioperative management of these patients.

Original languageEnglish (US)
Pages (from-to)41-53
Number of pages13
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Issue number1
StatePublished - Mar 2022


  • acute decompensated heart failure
  • cardiomyopathy
  • congenital heart disease
  • heart failure
  • pediatric cardiac anesthesia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine


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