Adult With Repaired Chd

Adult with repaired CHD • Type of CHD, • When, What, and Where, (Repair) • Understand the physiology of the repair • Residue, Sequelae, and the complication of the repair. • Follow up with cardiologist, recent Echo, if not ask for one • Discuss the case with a college who knows more about CHD(peds cardiac anesthetist) • The Need for SBE prophylaxis • High risk for arrhythmia (pads on) for pacing, cardioversion, or shock • Have inotrops support ready. • In case of shunt → be meticulous about air in the IV, use saline instead of air for epidurals. • In case of pulmonary HTN have NO in the room