Congenital heart disease is an anomaly present in children since birth. It occurs in approx. 1 in 125 births. In CHD, babies have a defect in the heart and its activity since birth. Best heart specialist doctors in Delhi are now able to successfully treat such kids with the help of most advanced technology and their in-depth knowledge and experience. However, there are serious problems and high risk if the CHD suffering childrenhave other complexities.
Children with CHD have higher morbidity and mortality associated with any non-cardiac surgery. The best cardiologists in Delhi along with the paediatric cardiac surgeons have expertise in surgeries associated with children having CHD disorders.
Do children suffering from CHD have higher chances of need for non-cardiac surgery?
It is observed that the children having CHD problem are more likely to have other health problems and undergo a non-cardiac surgery as the systems are interlinked. They undergo risk stratification and are classified as low, moderate and high-risk categories for planning and management of anaesthesia.
The risk associated with non-cardiac surgery in case of children with CHD?
It is very important for a paediatric surgeon, be it the best heart specialist doctor in Delhi, to evaluate the risk associated with doing any non-cardiac surgery in children having CHD. It should be evaluated that the surgery does not pose a life- threatening risk to the child. For children suffering from CHD have higher risk especially while giving anaesthesiabefore any surgery.
Some of the common non-cardiac surgeries performed in case of such children are –
- Dental problems wherein the child needs to be put on general anaesthesia before treatment.
- General surgery performed because of an abdominal problem which could be either pre-planned or also performed as an emergency surgery.
- Surgery for any genital disorders which requires the use of general anaesthesia for treatment.
- There are various diagnostic tests which require the use of anaesthesia which includes procedures such as MRI scans, bronchoscopy, and other scans.
The best cardiologists in Delhi classify children with CHD into the following categories:
- Simple CHD
- Moderate CHD
- Severe CHD, depending on the type of defect associated with the heart since birth.
A research was conducted in the US on a total of 51,000 children, out of which 4,520 children were having CHD which could be simple, moderate or severe. All these children underwent a non-cardiac surgery of one or the other type. The results showed that the children with congenital heart diseases had a higher risk during these surgeries.
The mortality rate in case of children with moderate CHD was 3.9% higher compared to normal children. Similarly, mortality rate was 8.2% higher in children with severe CHD. In third category, it was found that children with simple CHD had similar mortality or risks compared to normal children. So it has been proved that children with moderate or severe CHD need to be critically monitored.
In case of children with moderate or severe CHD, it is important to take special care while giving anaesthesia. The expertise and management of the anaesthesiologist is very important. It is important to consider the experience of the anaesthesiologist in considering such cases.
It is also important to go for other newer techniques of surgery wherever possible and which have a lesser risk. For example – laparoscopic or video-assisted surgery.