Outcome of noncardiac surgery in children with congenital heart disease performed outside a cardiac center

Journal of Pediatric Surgery
Shermayne M NgAnthony W R Kelsall

Abstract

The objective of this study was to review the outcome of children with congenital heart disease (CHD) undergoing noncardiac surgery requiring general anesthesia (GA) in a tertiary pediatric center between January 2010 and December 2012. A retrospective case note review of children <16years of age with confirmed CHD undergoing a surgical or interventional procedure requiring GA was performed. Patients were categorized into three risk groups according to White and Peyton's anesthetic risk classification of children with CHD undergoing noncardiac surgery [Critical Care and Pain 2012;12:17-22]. 117 children with CHD were identified with a total of 240 procedures conducted. 36 procedures were conducted in the high-risk group, 135 in the intermediate-risk group, and 69 in the low-risk group. 40% of these were major operations such as small bowel and colonic procedures. Overall mortality rate at 7days and 30days was 0% and 0.4%, respectively, with a 1% mortality rate in minor procedures and 0% mortality rate in major procedures. There were no unexpected deaths. 17% of procedures resulted in complications. A higher rate of complications was recorded in emergency procedures. 17% of these procedures required admission to the intensive ca...Continue Reading

References

Oct 1, 1978·The American Journal of Cardiology·J I Hoffman, R Christianson
Oct 1, 2010·Paediatric Anaesthesia·Michelle C White

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Citations

Nov 11, 2018·Archives of Disease in Childhood·Gabrielle NorrishJuan Pablo Kaski

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