Key result
Infants with congenital heart disease undergoing noncardiac surgery under awake spinal anesthesia had similar rates of >20% MAP decrease compared to controls without CHD (26.2% vs 23.8%, P=NS).
Why the study?
Does awake spinal anesthesia maintain similar hemodynamic stability in infants with congenital heart disease compared to those without congenital heart disease undergoing noncardiac surgery?
Cohort (n=84)
Does awake spinal anesthesia maintain similar hemodynamic stability in infants with congenital heart disease compared to those without congenital heart disease undergoing noncardiac surgery?
Absolute Event Rate: 26.2% vs 23.8%
p-value: p=NS
Awake spinal anesthesia appears to be safe and hemodynamically stable for infants with congenital heart disease undergoing noncardiac surgery, with no significant differences in hemodynamic parameters compared to infants without congenital heart disease.
No takes yet. Share an insight, caveat, or question.
May support awake spinal anesthesia in CHD infants for noncardiac surgery; leaves open need for randomized confirmation before practice change.
Kachko et al. (2011) conducted a cohort in Congenital heart disease (n=84). Congenital heart disease vs. Controls without congenital heart disease was evaluated on >20% decrease in mean arterial pressure (%MAP decrease) (p=NS). Infants with congenital heart disease undergoing noncardiac surgery under awake spinal anesthesia had similar rates of >20% MAP decrease compared to controls without CHD (26.2% vs 23.8%, P=NS).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: