A 10-year review of pediatric perfusion practice in North America

Cecere, Giovanni; Groom, Robert; Forest, Richard; Quinn, Reed; Morton, Jeremy
March 2002
Perfusion;Mar2002, Vol. 17 Issue 2, p83
Academic Journal
In December 1999, 145 North American pediatric open-heart institutions were mailed an updated survey as a follow-up of two earlier surveys, 1989 and 1994. The survey consisted of 81 questions pertaining to demographics, equipment, techniques and patient monitoring. This survey, following a similar format of the two earlier surveys, provides a 10-year review encompassing both new and founded practices performed during the conduct of pediatric cardiopulmonary bypass. Responses were received from 83 hospitals, for a 57% response rate. Of the respondents, 72 were active pediatric open-heart centers, 67% performing both adult and pediatric cardiac surgery and 33% performing pediatric surgery exclusively. The mean number of pediatric cases performed in 1999 was 169, compared to 101 cases in 1989 and 145 cases in 1993. Of the 72 respondents, 51% were performing greater than 100 cases/year, whereas 3% of centers were performing under 25 cases/year. As the decade progressed, bubble oxygenators were completely replaced by their membrane counterpart. The use of ultrafiltration, reported first in the 1989 survey, has risen by over 30%. The use of colloids in the prime, specifically 25% albumin, has increased in use from 34% in 1989 to 85% in 1999. Rewarming gradients are used by 100% of respondents with a mean gradient of 9.4°C between the patient and water bath. Myocardial protection has seen an increase of close to 20% in the use of blood cardioplegia. The use of safety devices is also on the rise with more centers using level detectors (79%), bubble detectors (88%) and arterial line filters (96%). Centers relying on the use of cardiac assist devices have increased by 25% since 1989. Results of this survey suggest a movement toward a higher volume of cases being performed at fewer centers. While some diversity is seen, movement toward greater homogeneity, first noted in the 1994 survey, continues in 1999.


Related Articles

  • Thrombotic Occlusion of Extracardiac Conduit. Seckeler, Michael D.; D'Souza, Marise D.; Gangemi, James J.; Hoyer, Andrew W.; Jayakuma, K. Anitha // Texas Heart Institute Journal;2013, Vol. 40 Issue 3, p360 

    The article describes the case of a three-year-old boy who was diagnosed with thrombotic occlusion of extracardiac conduit four months after he underwent a single-ventricle palliation procedure.

  • Univentricular Repair in Children Under 2 Years of Age: Early and Midterm Results. Airan, Balram; Chowdhury, Ujjwal K.; Sharma, Rajesh; Bhan, Anil; Kothari, Shyam S.; Saxena, Anita; Venugopal, Panangipalli // Heart, Lung & Circulation;Feb2001, Vol. 10 Issue 1, p3 

    Background: Encouraging results have been obtained from early univentricular repair. Our study was designed to assess the impact of young age (less than 2 years) on the outcome of univentricular repair. Patients and Methods: Between January 1992 and December 1998, 65 out of 311 patients...

  • Cardiac surgery units will need to provide more information.  // Nursing Children & Young People;Dec2011, Vol. 23 Issue 10, p5 

    The article reveals a plan by the British National Health Service (NHS) Safe and Sustainable review team to appeal a High Court judicial review on its cardiac surgery units in the region.

  • Narrative Discourse in Young Children With Histories of Early Corrective Heart Surgery. Hemphill, Lowry; Uccelli, Paola; Winner, Kendra; Chang, Chien-ju; Bellinger, David // Journal of Speech, Language & Hearing Research;Apr2002, Vol. 45 Issue 2, p318 

    Narrative attainment was assessed in a group of 76 four-year-old children at risk for brain injury because of histories of early corrective heart surgery. Elicited personal experience narratives were coded for narrative components, evaluative devices, and information adequacy and were contrasted...

  • Feeding frenzy. Hodes, Matthew // BMJ: British Medical Journal (International Edition);8/20/94-8/27/94, Vol. 309 Issue 6953, p546 

    Focuses on eating habits of children. Trials and tribulations of family life; Accounts on the story of Jake, born with a defective heart which requires surgical correction; Elaboration on the faddy eating of Jake which delays cardiac surgery.

  • Pre-operative coagulopathy management of a neonate with complex congenital heart disease: a case study. Stammers, A.H.; Rauch, E.D.; Willett, L.D.; Newberry, J.W.; Duncan, K.F. // Perfusion;Mar2000, Vol. 15 Issue 2, p161 

    Severe coagulation defects often develop in neonates undergoing cardiac surgery, both as a result of the surgical intervention, and as pre-existing defects in the hemostatic mechanisms. The following case report describes a newborn patient with complex congenital heart disease and respiratory...

  • To Be a Superhero. Schonfeld, Sara // Teen Ink;Dec2010, Vol. 22 Issue 4, p15 

    A personal narrative is presented which explores the author's experience of volunteering at a children's hospital, in which she feels like a superhero after helping a baby who underwent heart surgery.

  • Cardiac surgery during infancy associated with cognitive, motor delays.  // Infectious Disease News;Apr2010, Vol. 23 Issue 4, p42 

    The article discusses research which found that infants who underwent cardiac surgery within six months of life suffer from cognitive and motor delays.

  • Cardiac surgery during infancy associated with cognitive, motor delays.  // Infectious Diseases in Children;Apr2010, Vol. 23 Issue 4, p42 

    This article discusses a study on the link between cardiac surgery in infants and cognitive and motor delays during early childhood.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics