scholarly journals Comparison Of Dexmedetomidine and Morphine For Postoperative Pain and Sedation Management in Pediatric Patients Undergoing Congenital Cardiac Surgery: A Retrospective Study

2020 ◽  
Vol 18 (2) ◽  
pp. 35-43
Author(s):  
Dilek ALTUN ◽  
Ahmet ARNAZ ◽  
Abdullah DOĞAN ◽  
Ayda TÜRKÖZ
Keyword(s):  
Cardiac Surgery ◽  
Retrospective Study ◽  
Postoperative Pain ◽  
Pediatric Patients ◽  
Congenital Cardiac Surgery

Extracorporeal Membrane Oxygenation in Postcardiotomy Pediatric Patients—15 Years of Experience Outside Europe and North America

2017 ◽  
Vol 67 (01) ◽  
pp. 028-036 ◽  
Author(s):  
Mohamed Ismail ◽  
Tamer Hamouda ◽  
Rafik Shaikh ◽  
Alaa Mahmoud ◽  
Mohammad Shihata ◽  
...  
Keyword(s):  
Renal Failure ◽  
Cardiac Surgery ◽  
Extracorporeal Membrane Oxygenation ◽  
Pediatric Patients ◽  
Univariate Analysis ◽  
Ecmo Support ◽  
Hospital Death ◽  
Congenital Cardiac Surgery ◽  
Membrane Oxygenation ◽  
Cardiopulmonary Support

Background The increasing complexity of congenital cardiac surgery has resulted in the increased use of extracorporeal membrane oxygenation (ECMO) support for children who cannot be weaned from cardiopulmonary bypass. The purpose of this research was to assess the mortality and morbidity in children requiring ECMO support after the repair of congenital heart defects (CHDs). Methods The hospital records of all patients with CHD who required ECMO after a cardiac surgical procedure between January 2001 and December 2016 were retrospectively reviewed. Various outcomes were reported and tested for any association with hospital death. Results A total of 113 children required ECMO for cardiopulmonary support after congenital cardiac surgery; 88 (77.9%) were placed on ECMO in the operating room. Median age of the patients was 3 months (range, 4 days–15 years) and median weight was 3.5 kg (range, 2.2–42.5). Forty-two (37.2%) survived to hospital discharge. In children with single-ventricle physiology, survival to discharge was 37.3% (19/51 patients) and for biventricular physiology, it was 37.1% (23/62 patients). Univariate analysis revealed number of days on ECMO support, renal failure, and stroke as risk factors for hospital mortality, while age and cross-clamp time were found to be statistically nonsignificant. Conclusion Satisfactory results can be achieved in pediatric patients by using ECMO support for postoperative cardiac and pulmonary failure refractory to medical management. Prolonged ECMO support, renal failure, and stroke are risk of mortality.

scholarly journals Remote Ischemic Preconditioning Fails to Benefit Pediatric Patients Undergoing Congenital Cardiac Surgery

Medicine ◽  
2015 ◽  
Vol 94 (43) ◽  
pp. e1895 ◽  
Author(s):  
Hong-Tao Tie ◽  
Ming-Zhu Luo ◽  
Zhen-Han Li ◽  
Qian Wang ◽  
Qing-Chen Wu ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Ischemic Preconditioning ◽  
Pediatric Patients ◽  
Remote Ischemic Preconditioning ◽  
Congenital Cardiac Surgery

scholarly journals Effect of preoperative anxiety, depression, and insomnia on acute postoperative pain after non-cardiac surgery

2021 ◽  
Author(s):  
Dandan Lin ◽  
Xiao Huang ◽  
Jing Wang ◽  
Yanan Hao ◽  
Mengwen Geng ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Retrospective Study ◽  
Postoperative Pain ◽  
Mental Disease ◽  
Disease Group ◽  
Acute Postoperative Pain ◽  
Rescue Analgesia ◽  
Mental Diseases ◽  
Vas Scores ◽  
Anxiety Depression

Abstract Background The mental diseases especially anxiety, depression, and insomnia are common in patients at perioperative period. This study aims to investigate the association of preoperative mental diseases with acute postoperative pain of patients undergoing non-cardiac surgery. Method: The patients undergoing non-cardiac surgery from August 1, 2019 to January 23, 2020 at Capital Medical University, Beijing Chao-Yang Hospital were included in this retrospective study. The demographics, clinical data and assessments of depression, anxiety, and insomnia by Insomnia Severity Index (ISI), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) were collected and analyzed. The patients with any of depression, anxiety or insomnia were divided into mental disease group, and others were in non-mental disease group according to the. We compared the postoperative visual analog score between patients in mental diseases group with propensity score matching cohort from patients in non-mental diseases. The primary outcome was acute postoperative pain according to the Visual Analog Scale (VAS) 24h after surgery. Secondary outcomes included VAS at other time points and incidence of postoperative nausea and vomiting (PONV), rescue analgesia, and length of hospital stay (LOS). Results The analysis included 397 patients (274 in the group and 123 in the mental disease group). Patients in mental disease group (anxiety, depression and insomnia) were associated with higher VAS scores and increased times of rescue analgesia. Each of the 3 mental diseases was associated with higher VAS scores independently. Conclusion In this retrospective study, preoperative anxiety, depression and insomnia were associated with increased the level of acute postoperative pain and increased times of rescue analgesia of patients undergoing non-cardiac surgery.

Postoperative Pain Management in Pediatric Patients Undergoing Cardiac Surgery: Where Are We Heading?

2019 ◽  
pp. 088506661987143 ◽  
Author(s):  
Uri Pollak ◽  
Ronald A. Bronicki ◽  
Barbara-Jo Achuff ◽  
Paul A. Checchia
Keyword(s):  
Cardiac Surgery ◽  
Pain Management ◽  
Postoperative Pain ◽  
Pain Assessment ◽  
Pediatric Patients ◽  
Postoperative Pain Management ◽  
Routes Of Administration ◽  
Innovative Methods ◽  
Short And Long Term ◽  
Data Source

Objectives: Adequate postoperative pain management is crucial in pediatric patients undergoing cardiac surgery because pain can lead to devastating short- and long-term consequences. This review discusses the limitations of current postoperative pain assessment and management in children after cardiac surgery, the obstacles to providing optimal treatment, and concepts to consider that may overcome these barriers. Data Source: MEDLINE and PubMed. Conclusions: Effective pain management in infants and young children undergoing cardiac surgery continues to evolve with innovative methods of both assessment and therapy using newer drugs or novel routes of administration. Artificial intelligence– and machine learning–based pain assessment and patient-tailored management in both pain measurement and prevention are already being integrated into the routine of current practice.

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