May 13, 2015Pediatric Anesthesia

Patients with single ventricle physiology undergoing noncardiac surgery are at high risk for adverse events

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Why the study?

What is the rate of adverse events in patients with single ventricle physiology undergoing noncardiac surgery?

Structured PICO

What is the rate of adverse events in patients with single ventricle physiology undergoing noncardiac surgery?

Population

70 patients with single ventricle physiology who underwent a palliative procedure and required sedation or general anesthesia for noncardiac operations prior to completion of a bidirectional Glenn procedure.

Intervention

Sedation or general anesthesia for noncardiac operations

Outcome

Adverse events and mortality during or within 48 hours after noncardiac surgerysafety

Patients with single ventricle physiology undergoing noncardiac surgery prior to bidirectional Glenn have a high rate of anesthetic-related adverse events (11.8%) but no short-term mortality.

Discussion

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Implication

No perioperative mortality observed supports cautious reassurance for noncardiac procedures; leaves open need for prospective studies on complications.

Cite This Study

Brown et al. (2015) studied this question.

synapsesocial.com/papers/6a6f70fbf44fa9f079dce17b https://doi.org/10.1111/pan.12685

Topics

Congenital heart disease adults

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Implication

No perioperative mortality observed supports cautious reassurance for noncardiac procedures; leaves open need for prospective studies on complications.

Patients with single ventricle physiology undergoing noncardiac surgery are at high risk for adverse events

Structured PICO

Discussion

Implication

Cite This Study

Topics

Patients with single ventricle physiology undergoing noncardiac surgery are at high risk for adverse events

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider