Electrophysiology and structural interventions in adults with congenital heart disease: Comparison of combined versus separate procedures

Lindsay, Iain; Nik‐Ahd, Farnoosh; Aboulhosn, Jamil; Moore, Jeremy P.

doi:10.1111/jce.13637

Cited by 3 publications

(3 citation statements)

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“…Bansal et al 11 studied the cost-effectiveness of combining cardiac catheterization with electrophysiology in pediatric patients and reported a shorter recovery time, shorter LOS, and an average reduction in costs in combined procedures. In adults with congenital heart disease, Lindsay et al 12 noted shorter anesthesia usage, shorter hospital stays, and a 37% reduction in hospital charges among other decreased outcome measures when comparing combined and consecutive electrophysiologic and structural interventions.…”

Section: Discussionmentioning

confidence: 99%

“…While there have been studies supporting the potential benefits of combined procedures across different specialties, 11 , 12 , 27 – 31 the current study is the first, to our knowledge, that specifically examines the safety and efficacy of combining PP and BMT. Our study demonstrated statistically significant decreased time spent in the PACU and decreased dose administration of fentanyl in comparison to cases of separate procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Recent literature in the cardiac field has reported shorter anesthesia, shorter procedure duration, and shorter length of stay (LOS). 11 , 12 In patients born with CLP, BMT and palatoplasty (PP) can be performed concomitantly, theoretically decreasing exposure to anesthesia. There is a paucity of plastic surgery literature objectively assessing the efficacy of performing concomitant surgeries with regards to such factors as surgical outcomes, morbidity, total operative time, LOS in the post-anesthetic care unit, and anesthesia dosages administered.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy and Safety in Combining Primary Palatoplasty and Myringotomy in Patients with Cleft Palate

Mantilla-Rivas

Mamidi

Rokni

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Patients born with a cleft lip and palate undergo multiple surgical procedures, increasing the infants’ exposure to anesthesia and potential risk of neurocognitive delays. In addition, these numerous procedures lead to greater use of hospital resources. This study analyzes the differences in anesthetic exposure and perioperative characteristics between performing combined versus separate primary palatoplasty (PP) and placement of bilateral myringotomy tubes (BMT). Methods: We reviewed patients younger than 2 years who underwent PP and BMT at our institution from June 2014 to January 2019. Patients who underwent PP and BMT during the same admission (combined group = 74) and during separate admissions (separate group = 26) were studied. Due to the small sample size in the separate group, additional data for this group were gathered by propensity score matching by gender, race, and American Society of Anesthesiology class. Statistical analyses were carried out to identify significant differences between the 2 groups. Linear regression was performed to compare perioperative variables. Results: One hundred patients met the inclusion criteria. There were no significant differences in demographic characteristics or American Society of Anesthesiology class, surgery and anesthesia duration, dosage of intraoperative dexmedetomidine, hospital length of stay, and perioperative complications ( P > 0.05). Per contra, combined group had significantly lower intraoperative dosages of fentanyl ( P = 0.01) and shorter postoperative care unit stay ( P = 0.047). Conclusions: This study documents decreased postoperative care unit time and anesthesia drug exposure without increased length of stay or perioperative complications in patients undergoing combined PP and BMT. These results support combining PP and BMT to reduce exposure to potentially neurotoxic medications and to increase efficient utilization of hospital resources.

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Section: Discussionmentioning

confidence: 99%