Postoperative cardiac arrest in children with congenital heart abnormalities
محل انتشار: مجله آریا آترواسکلروز، دوره: 9، شماره: 2
سال انتشار: 1392
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 114
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شناسه ملی سند علمی:
JR_RYA-9-2_005
تاریخ نمایه سازی: 3 شهریور 1401
چکیده مقاله:
BACKGROUND: The exact survival rates and markers of survival after postoperative cardiac arrest in children with congenital heart abnormalities are unknown. METHODS: In this one-year study, we identified children younger than seven years of age with postoperative cardiac arrest in our pediatric cardiac intensive care unit database. Parameters from perioperative, pre-arrest, and resuscitation periods were analyzed for these patients. Comparisons were made between survivors and non-survivors after cardiopulmonary resuscitation (CPR). Fisher's exact, Student's t, and chi-square tests were used to analyze data. RESULTS: Of ۵۲۹ evaluated children who underwent corrective heart surgery, ۵۹ (۱۱%) sustained a documented cardiac arrest. Of these, ۲۲ (۳۷%) survived and regained their vital signs. Perioperative parameters (age, weight, and duration of cardiopulmonary bypass pumping), ventricular physiology, oxygen saturation, and bicarbonate concentration did not influence the outcome of CPR. Greater use of inotropic agents was not associated with higher mortality. A significant relationship was seen between having history of cardiac arrest and CPR success (P < ۰.۰۰۱). CONCLUSION: CPR had undesirable outcomes in patients with hemodynamic dysfunction (i.e. low mean arterial blood pressure). Patients with univentricular physiology or history of cardiac arrest are not prone to a higher risk of mortality following arrest. Keywords: Cardiac arrest, Congenital, Cardiopulmonary resuscitation, Pediatrics, Operation
نویسندگان
Ali Reza Ahmadi
Assistant Professor, Department of Pediatrics, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institue, Isfahan University of Medical Sciences, Isfahan, Iran
Mohammad Yusef Aarabi
Professor, Department of Pediatric Cardiology, Rajaei Cardiovascular, Medical & Research Center, Tehran University of Medical Sciences, Tehran, Iran