Mechanical support availability in pediatric cardiac surgery: Program size should not matter

Abstract Intractable heart failure may require Extracorporeal Life Support (ECLS) techniques for rescue therapy. Nevertheless, in many small to middle-sized centers in Europe, this valuable resource is not available. In our University pediatric intensive care unit 0.9% of 1360 open-heart surgical pa...

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Bibliographic Details
Published in:International journal of cardiology 2008-09, Vol.129 (2), p.282-284
Main Authors: da Cruz, Eduardo M, Beghetti, Maurice, Kalangos, Afksendyios, Berner, Michel, Sierra, Jorge, Aggoun, Yacine, Tissot, Cécile, Pellegrini, Michel, Saudan, Sonja, Habre, Walid, Rimensberger, Peter C
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Cardiac Output
Cardiac Surgical Procedures - methods
Cardiology. Vascular system
Cardiovascular
Cardiovascular Diseases - prevention & control
Child
Child, Preschool
Extracorporeal life support
Extracorporeal Membrane Oxygenation - methods
Female
Heart
Heart failure
Heart Failure - prevention & control
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Heart-Assist Devices
Humans
Infant
Male
Medical sciences
Pediatric cardiac surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
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Summary:Abstract Intractable heart failure may require Extracorporeal Life Support (ECLS) techniques for rescue therapy. Nevertheless, in many small to middle-sized centers in Europe, this valuable resource is not available. In our University pediatric intensive care unit 0.9% of 1360 open-heart surgical patients required mechanical assistance over the latest 9 years with a survival rate of 69.2% and low residual morbidity. This favorable overall outcome suggests that regardless of the program size, it is possible to ensure the availability of efficient mechanical assistance that appears to be fundamental in a center performing surgery for complex congenital or acquired cardiac diseases.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2007.06.040