Cardiac Catheterization Laboratory: Catheterization, Interventional Cardiology, and Ablation Techniques for Children

摘要

Cardiac catheterization as a diagnostic tool was first described in 1947. In 1958, Smith2 reported on the anesthetic experience with a sedative (lytic) cocktail, the widely used and traditional mixture of meperidine, promethazine, and chlorpromazine (DPT). The goal for sedation for cardiac catheterization was and is to achieve a cooperative patient with minimal interference with hemodynamic parameters. The data collected should be as close to normal as possible. With the advancements in noninvasive diagnostics in pediatric cardiology, particularly echocardiography, pure acquisition of anatomic and/or physiologic data is becoming less common. The main emphasis of pediatric cardiac catheterization is shifting toward therapeutic, trans-catheter interventions. The latter frequently necessitates general anesthesia to prevent accidental patient movement.