Key result
Intraoperative hypotension during pacemaker placement for congenital complete heart block occurred in 71.4% of neonates with congenital heart defects versus 23.5% with normal hearts (P=0.02).
Why the study?
What are the hemodynamic complications during anesthetic management for pacemaker placement in neonates with congenital complete heart block?
Observational (n=24)
No
What are the hemodynamic complications during anesthetic management for pacemaker placement in neonates with congenital complete heart block?
Absolute Event Rate: 71.4% vs 23.5%
p-value: p=0.02
Anesthesia for pacemaker placement in neonates with congenital complete heart block carries a high risk of hemodynamic instability, particularly in those with coexisting congenital heart defects.
No takes yet. Share an insight, caveat, or question.
Neonates with congenital heart defects may warrant heightened vigilance for hypotension; leaves open whether tailored protocols reduce risk in congenital complete heart block.
Kussman et al. (2005) conducted an observational in Congenital complete heart block (n=24). Associated congenital heart defects vs. Structurally normal heart was evaluated on Intraoperative hypotension (p=0.02). Intraoperative hypotension during pacemaker placement for congenital complete heart block occurred in 71.4% of neonates with congenital heart defects versus 23.5% with normal hearts (P=0.02).
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: