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Related Experiment Videos

Paediatric perfusion practice in North America: an update

R C Groom1, A G Hill, M Kurusz

  • 1Virginia Heart Center at Fairfax Hospital, Falls Church 22046, USA.

Perfusion
|November 1, 1995
PubMed
Summary

Paediatric open-heart surgery programs show increased caseloads and a trend toward standardized equipment and techniques. Safety devices and membrane oxygenation use are now universal in North America.

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Medical Technology

Background:

  • Previous surveys indicated significant variability in pediatric cardiac surgery practices.
  • The landscape of pediatric open-heart surgery has evolved since 1989.

Purpose of the Study:

  • To compare current pediatric open-heart surgery program demographics with 1989 data.
  • To identify trends in equipment selection and perfusion techniques for pediatric patients.

Main Methods:

  • A follow-up survey questionnaire was distributed to North American pediatric open-heart surgery programs in August 1994.
  • Data collected included program demographics, equipment criteria, and perfusion techniques.
  • Responses from 125 hospitals were analyzed and compared to 1989 survey results.

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Main Results:

  • 110 active pediatric cardiac surgery centers responded, with 43 performing pediatric cardiac transplantation (up from 35 in 1989).
  • Total caseloads increased over 8% annually from 1988-1994, with more neonates and infants undergoing surgery.
  • A significant trend toward homogeneity in equipment and techniques was observed, with universal use of membrane oxygenation and arterial line filtration.

Conclusions:

  • Pediatric cardiac surgery programs have experienced growth and increased specialization.
  • There is a clear trend towards standardization of equipment and safety protocols in pediatric cardiopulmonary bypass.
  • The findings suggest improved and more consistent care for pediatric patients undergoing open-heart surgery.