Analysis of anesthesia related severe adverse events in congenital catheterization cases from a single institution

Abstract

Analysis of anesthesia related severe adverse events in congenital catheterization cases from a single institution.

The Year in Review: Anesthesia for Congenital Heart Disease 2023

“…Furthermore, an article from Pediatric Anesthesia's July issue by Black et al reviewed severe adverse events for patients undergoing catheterization procedures at their single institution. 29 Though provider training was not assessed, they interestingly noted adverse event rates similar to historical data despite increasing procedure complexity as well as many imaging procedures being replaced by less invasive modalities. 29 Reichl et al found that 91 consecutive infants and young children safely discharged home after a 3-hour observation period following sedation provided by a cardiac anesthesiologist for cardiac computed tomography and magnetic resonance imaging.…”

“…29 Though provider training was not assessed, they interestingly noted adverse event rates similar to historical data despite increasing procedure complexity as well as many imaging procedures being replaced by less invasive modalities. 29 Reichl et al found that 91 consecutive infants and young children safely discharged home after a 3-hour observation period following sedation provided by a cardiac anesthesiologist for cardiac computed tomography and magnetic resonance imaging. 30 The practice of pediatric cardiac anesthesiologists caring for CHD patients undergoing noncardiac procedures tends to vary depending on the institution.…”

“…23 Meta-analysis demonstrating RIP had no effect on prolonged MV or ICU LOS. Huang et al 24 Preop low SpO2, high lactate, and longer MV associated with increased LOS after TAPVR repair Neurodevelopment Simpao et al 25 No association between volatile anesthesia exposure and deleterious neurodevelopmental effects Resource allocation Backer et al 26 Multidisciplinary guidelines and recommendations for congenital heart centers Lin et al 28 Similar adverse event rates for cardiac catheterization procedures with noncardiac trained pediatric anesthesiologists Black et al 29 Similar adverse event rates in the cardiac catheterization lab despite increasing patient complexity Reichl et al 30 Cardiac imaging can be done safely in an ambulatory setting Baijal et al 34 The importance of risk stratification and anesthesiologist level of training in patients with CHD undergoing noncardiac procedures Waldman et al 35…”