Critical outcomes in pediatric patients with pulmonary hypertension and congenital cardiopathy carried out to diagnostic heart catheterization in the Cardiovascular Hospital of Soacha between 2013 and 2016
Journal Title: Revista Cuarzo - Year 2015, Vol 21, Issue 2
Abstract
BACKGROUND: For every thousand live births in Colombia, two to three present some type of cardiac congenital anomaly; the majority of them will be associated with the development of pulmonary hypertension, which is a patho-physiological condition that according to severity affects morbidity and mortality, being a determining factor for the operability and prognosis of the patient. The definitive diagnostic method is the cardiac catheterization procedure that allows to evaluate the anatomy, the hemodynamic state, the response to the specific pulmonary vasodilators and the degree of severity of the condition, as well as to support in the decision of the definitive surgical management; this procedure requires in most cases general anesthesia. However, catheterization is not without risk; it has been reported a frequency of 4.5 - 5.7% of cardiac arrest, a risk of death between 0.3 - 0.8%, among other complications. Therefore, the objective of this study was to evaluate the incidence of complications of cardiac catheterization in patients with congenital heart disease associated with pulmonary hypertension. METHODS: A cross-sectional study was carried out in pediatric patients with congenital heart disease associated with pulmonary hypertension undergoing cardiac catheterization under general anesthesia was performed between 2013 and 2016 in hemodynamic rooms at the Cundinamarca Children’s Hospital. We evaluated the presentation of in-traoperative complications as well as the demographic and clinical characteristics of the patients before the procedure. RESULTS: We included 81 patients. The incidence of intraoperative complications during the procedure was 9% for pulmonary hypertension, 6% of patients had intraoperative shock, 10% had hypoxemia, 4% presented some type of collapsing arrhythmia and 14% required mechanical ventilation In addition, a mortality rate of 11% was observed within the next 30 days of hospitalization. Conclusions: Cardiac catheterization in patients with congenital anomalies is a risky procedure that deserves special attention on the part of the anesthesiologist in order to mitigate the risk of possible complications.
Authors and Affiliations
Córdoba, J. , Velandia, A. , Riaño Cuastumal, J. , Ramírez, M. , Montenegro, W. , & Mejía, M.
Keywords
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- EP ID EP694597
- DOI https://doi.org/10.26752/cuarzo.v21.n2.137
- Views 166
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