Unveiling preoperative clinical profiles in pediatric aortic coarctation: Insights into surgical interventions and institutional anesthesia practices

Year 2024, Volume: 25 Issue: 4, 506 - 518, 22.12.2024

Canan Salman Önemli , Kübra Evren Şahin , Ömer Faruk Gülaştı , Mustafa Karaçelik , Çağatay Bilen

https://doi.org/10.69601/meandrosmdj.1532632

Abstract

ABSTRACT
Objectives:
The study seeks to provide valuable insights into the outcomes of anesthesia and surgical practices employed in our institution, addressing the challenges posed by preoperative conditions such as heart failure, inotropic support requirements, and mechanical ventilation needs, particularly in the delicate population of newborns.
Methods:
Our investigation conducted a retrospective analysis encompassing all patients who underwent surgery for aortic coarctation at the Pediatric Cardiac Surgery Clinic of the 350-bed Children Hospital between 2012 and 2021.
Results:
The study encompassed a cohort of 97 patients spanning from newborns to adolescents, with 61 males and 36 females, revealing a 19.5% incidence of genetic anomalies. Intraoperatively, 4.1% of patients required vasodilators, and 13.4% had a triple inotropic requirement.
Postoperatively, monitoring distribution included 59 patients in the cardiac surgery intensive care unit, 36 in the neonatal intensive care unit, and 2 in the pediatric intensive care unit. Early extubation within the first 24 hours was achieved in 57.7% of patients.
Conclusion:
This research contributes critical insights aimed at refining treatment strategies and enhancing overall outcomes, with particular attention to addressing challenges related to delayed extubation and postoperative vasodilator requirements.

Keywords

Aortic coarctation, surgery, anesthesia, postoperative complications, risk factors

Ethical Statement

The approval was obtained from the ethics committee of the Dr.Child Diseases and Surgery Training and Research Hospital on 19/11/2020 with protocol number 2020/16-08.

Supporting Institution

No

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