Respiratory Care for Neonates With Congenital Heart Disease

Bronicki, Ronald A.; Benitz, William Ε.; Buckley, Jason R.; Yarlagadda, Vamsi V.; Porta, Nicolas F M; Agana, Devon O; Kim, Minso; Costello, John M.

doi:10.1542/peds.2022-056415h

Cited by 3 publications

(1 citation statement)

References 117 publications

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“…Сучасні способи проведення ШВЛ -це інвазивна (ШВЛ через ендотрахеальну або трахеостомічну трубку) та неінвазивна вентиляція (дихання через лицеву маску, назофарингеальну чи орофарингеальну трубку). Крім того, завдяки прогресу в технологіях, неінвазивна вентиляція поступово витісняє інвазивну вентиляцію у маленьких пацієнтів з відносно легким післяопераційним перебігом, що значно зменшує частоту виникнення ШВЛ-асоційованих ускладнень і робить її більш комфортною для дітей [7].…”

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Analysis of the Use of Non-Invasive Lung Ventilation Support in Newborns and Young Children after Cardiac Surgery

Yakimishen,

Tsymbal,

Boiko

et al. 2023

ujcvs

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Background. Non-invasive ventilatory support for artificial lung ventilation (ALV) in infants with congenital heart disease after cardiac surgery helps to reduce the duration of invasive ALV, reduce the number of mechanical and infectious complications, and reduce or eliminate the need for sedation. The aim. To analyze the experience of using non-invasive ventilatory support after surgical correction of congenital heart disease in infants and compare its effectiveness with invasive mechanical ventilation. Materials and methods. We conducted a retrospective analysis of the use of non-invasive ALV and its effectiveness compared to invasive mechanical ventilation in children under 1 year of age after cardiac surgery from 2020 to 2022 at the Department of Cardiac Arrest in Newborns and Young Children of the National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine. During this period, 134 patients were operated on (38 children under 1 month old, 96 children under 1 year old). In the postoperative period, 85 children (55.9%) needed prolonged mechanical ventilation (more than 24 hours), of which non-invasive ventilation support was used in 32 patients (37.6%) and invasive ventilation in 53 (62.3%) patients. Results. The patients on non-invasive ALV (n = 32) had lower weight (p = 0.23), shorter ventilation time (p = 0.56), and the time spent at the intensive care unit (p = 0.61), required less sedation (p = 0.29), and had lower mortality (p = 0.42) compared to the group of children who received only invasive ventilatory support (n = 53), but this difference was not statistically significant. The need for non-invasive ventilation was higher in 9 (28.12%) infants than in 8 (15.09%) other infants and was statistically significant (p < 0.001). Conclusions. Our study showed that the use of non-invasive ALV can shorten the length of stay at the intensive care unit and the time spent on ventilation, reduce or avoid the use of sedation, and prevent pulmonary complications (infectious and mechanical) with long-term treatment. However, there was no significant difference between non-invasive and invasive ventilation in terms of mortality.

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Analysis of the Use of Non-Invasive Lung Ventilation Support in Newborns and Young Children after Cardiac Surgery

Yakimishen,

Tsymbal,

Boiko

et al. 2023

ujcvs

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Medical Management Considerations of Premature Infants with Congenital Heart Disease

Varma,

Kim

2024

Curr Treat Options Peds

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Error traps in patients with congenital heart disease undergoing noncardiac surgery

Albertz,

Ing,

Schwartz

et al. 2024

Pediatric Anesthesia

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Patients with congenital heart disease are living longer due to improved medical and surgical care. Congenital heart disease encompasses a wide spectrum of defects with varying pathophysiology and unique anesthetic challenges. These patients often present for noncardiac surgery before or after surgical repair and are at increased risk for perioperative morbidity and mortality. Although there is no singular safe anesthetic technique, identifying potential error traps and tailoring perioperative management may help reduce morbidity and mortality. In this article, we discuss five error traps based on the collective experience of the authors. These error traps can occur when providing perioperative care to patients with congenital heart disease for noncardiac surgery and we present potential solutions to help avoid adverse outcomes.

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Respiratory Care for Neonates With Congenital Heart Disease

Cited by 3 publications

References 117 publications

Analysis of the Use of Non-Invasive Lung Ventilation Support in Newborns and Young Children after Cardiac Surgery

Analysis of the Use of Non-Invasive Lung Ventilation Support in Newborns and Young Children after Cardiac Surgery

Medical Management Considerations of Premature Infants with Congenital Heart Disease

Error traps in patients with congenital heart disease undergoing noncardiac surgery

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