90 Anesthetic Considerations for Cardiac and Noncardiac Surgery in the Child With Congenital Cardiac Disease Kelly L Grogan, Andreas W Loepke Abstract Children and adults with major congenital heart disease represent a challenging patient population who require repeated anesthetic exposures to undergo life-saving and quality-of-life–improving procedures A dedicated anesthesia care team directed by a pediatric cardiac anesthesiologist is best qualified to take care of high-risk patients Patients with repaired or palliated heart disease of lesser complexity can be taken care of by general anesthesia providers familiar with their patient's specific physiology and pathophysiology Given the requirements for repeated and prolonged exposures to anesthetic and sedatives at a young age in this vulnerable patient population, concerns for the effects of this practice on brain development need to be further addressed Additional research is urgently needed to improve safety and reduce morbidity and mortality in this complex and ever-evolving patient population Keywords Anesthesia; cardiac anesthesia; newborn; infant; fast-track; early extubation; vascular access ... undergo life-saving and quality-of-life–improving procedures A dedicated anesthesia care team directed by a pediatric cardiac anesthesiologist is best qualified to take care of high-risk patients Patients with repaired or