Evaluation of Cardiac Function During Laparoscopic Gastrostomy in Pediatric Patients with Hypoplastic Left Heart Syndrome Using Intraoperative Transesophageal Echocardiography

E. Marty Knott; Jason D. Fraser; Hanna Alemayahu; William B. Drake; Shawn D. St. Peter; Kathy M. Perryman; David Juang

doi:10.1089/lap.2014.0287

October 1, 2014Journal of Laparoendoscopic & Advanced Surgical Techniques

Evaluation of Cardiac Function During Laparoscopic Gastrostomy in Pediatric Patients with Hypoplastic Left Heart Syndrome Using Intraoperative Transesophageal Echocardiography

View Full Paper

Ask AI

Bookmark

Share

Why the study?

Does pneumoperitoneum during laparoscopic gastrostomy affect ventricular function in pediatric patients with single ventricle physiology?

Structured PICO

Does pneumoperitoneum during laparoscopic gastrostomy affect ventricular function in pediatric patients with single ventricle physiology?

P

Population

11 pediatric patients with single ventricle physiology (SVP), including 6 with hypoplastic left heart syndrome (HLHS), undergoing laparoscopic gastrostomy. All patients were post-first-stage palliation; two had completed post-second stage.

I

Intervention

Laparoscopic gastrostomy with pneumoperitoneum, monitored by intraoperative transesophageal echocardiography (TEE)

C

Comparator

Baseline (pre-insufflation) and post-desufflation (within-patient comparison)

O

Outcome

Fractional shortening (physiologic impact on single ventricle function)surrogate

Pneumoperitoneum during laparoscopic gastrostomy causes a reversible decrease in fractional shortening in pediatric patients with single ventricle physiology, but the procedure is generally well tolerated.

Implication

Caution advised with insufflation in single-ventricle pediatrics; leaves open need for prospective studies before practice change.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Knott et al. (2014) studied this question.

synapsesocial.com/papers/6a87f412c16cbaca05f4c6ae https://doi.org/10.1089/lap.2014.0287

View Full Paper

Ask AI

Bookmark

Share

Evaluation of Cardiac Function During Laparoscopic Gastrostomy in Pediatric Patients with Hypoplastic Left Heart Syndrome Using Intraoperative Transesophageal Echocardiography

Structured PICO

Implication

Discussion

Cite This Study

Evaluation of Cardiac Function During Laparoscopic Gastrostomy in Pediatric Patients with Hypoplastic Left Heart Syndrome Using Intraoperative Transesophageal Echocardiography

Structured PICO

Implication

Discussion

Cite This Study

Keep reading

Keep reading