The anesthetic management of children with pulmonary hypertension in the cardiac catheterization laboratory

Anesthesiol Clin. 2014 Mar;32(1):157-73. doi: 10.1016/j.anclin.2013.10.005. Epub 2013 Dec 17.


Children need cardiac catheterization to establish the diagnosis and monitor the response to treatment when undergoing drug therapy for the treatment of pulmonary arterial hypertension (PAH). Children with PAH receiving general anesthesia for cardiac catheterization procedures are at significantly increased risk of perioperative complications in comparison with other children. The most acute life-threatening complication is a pulmonary hypertensive crisis. It is essential that the anesthesiologist caring for these children understands the pathophysiology of the disease, how anesthetic medications may affect the patient's hemodynamics, and how to manage an acute pulmonary hypertensive crisis.

Keywords: Anesthesia; Cardiac catheterization laboratory; Children; Pulmonary hypertension.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Airway Management
  • Anesthesia / methods*
  • Anesthesia Recovery Period
  • Anesthetics
  • Cardiac Catheterization / methods*
  • Child
  • Child, Preschool
  • Humans
  • Hypertension, Pulmonary / classification
  • Hypertension, Pulmonary / complications*
  • Hypertension, Pulmonary / physiopathology
  • Hypertension, Pulmonary / therapy
  • Infant
  • Infant, Newborn


  • Anesthetics