Key result
Sufentanil-based fast-track cardiac anesthesia significantly reduced postoperative mechanical ventilation duration, ICU stay, hospital stay, and costs compared to conventional anesthesia.
Why the study?
The study evaluated the effectiveness and safety of fast-track cardiac anesthesia using sufentanil in children undergoing intraoperative device closure of ventricular septal defect.
Does sufentanil-based fast-track cardiac anesthesia improve postoperative recovery times and reduce costs compared to conventional anesthesia in children undergoing intraoperative device closure of VSD?
Observational (n=65)
No
Does sufentanil-based fast-track cardiac anesthesia improve postoperative recovery times and reduce costs compared to conventional anesthesia in children undergoing intraoperative device closure of VSD?
Sufentanil-based fast-track cardiac anesthesia is a safe and effective technique that reduces mechanical ventilation duration, ICU and hospital length of stay, and costs in children undergoing VSD closure.
May support shorter recovery in pediatric VSD closure; leaves open confirmation by randomized trials.
OBJECTIVE: To assess the effectiveness and safety of fast-track cardiac anesthesia using the short-acting opioid sufentanil in children undergoing intraoperative device closure of ventricular septal defect (VSD). METHODS: This retrospective clinical study included 65 children who underwent intraoperative device closure of VSD between January 2017 and June 2017. Patients were diagnosed with isolated perimembranous VSD by transthoracic echocardiography. Then, they were divided into two groups, group F (n=30), whose patients were given sufentanil-based fast-track cardiac anesthesia, and group C (n=35), whose patients were given conventional cardiac anesthesia. Perioperative clinical data were analyzed. RESULTS: No significant differences were found between the preoperative clinical parameters and intraoperative hemodynamic indices between the two groups. In group C, compared with group F, the postoperative duration of mechanical ventilation, the length of stay in the intensive care unit, the length of hospital stay, and the hospital costs were significantly increased. CONCLUSION: In this retrospective study at a single center, sufentanil-based fast-track cardiac anesthesia was shown to be a safe and effective technique for minimally-invasive intraoperative device closure of VSD in children, which was performed with reduced in-hospital costs.
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Wang et al. (2019) conducted an observational in Ventricular septal defect (VSD) (n=65). Sufentanil-based fast-track cardiac anesthesia vs. Conventional cardiac anesthesia was evaluated on Postoperative duration of mechanical ventilation, length of ICU stay, length of hospital stay, and hospital costs. Sufentanil-based fast-track cardiac anesthesia significantly reduced postoperative mechanical ventilation duration, ICU stay, hospital stay, and costs compared to conventional anesthesia.
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