Anesthesia-Related Cardiac Arrest in Children with Heart Disease

• DOI: 10.1213/ane.0b013e3181c9f927
• Publication Date: 2010-03-18T09:34:32Z
• Authors: Chandra Ramamoorthy; Charles M. Haberkern; Sanjay M. Bhananker; Karen B. Domino; Karen L. Posner; John S. Campos; Jeffrey P. Morray
• Keywords: Cardiac catheterization

From 1994 to 2005, the Pediatric Perioperative Cardiac Arrest Registry collected data on 373 anesthesia-related cardiac arrests (CAs) in children, 34% of whom had congenital or acquired heart disease (HD).Nearly 80 North American institutions that provide anesthesia for children voluntarily enrolled Registry. A standardized form each perioperative CA 18 years old younger was submitted anonymously. We analyzed causes and outcomes from with without HD.Compared 245 HD, 127 HD who arrested were sicker (92% vs 62% ASA physical status III-V; P < 0.01) more likely arrest cardiovascular (50% 38%; = 0.03), although often exact cause could not be determined. Mortality higher patients (33%) than those (23%, 0.048) but did differ when adjusted classification. More half (54%) reported general operating room compared 26% 17% catheterization laboratory. The most common category lesion suffering single ventricle (n 24). At time CA, either unrepaired (59%) palliated (26%). Arrests aortic stenosis cardiomyopathy associated highest mortality rates (62% 50%, respectively), statistical comparison precluded by small sample size some lesions.Children at a after arrest. These frequently causes. identification factors relating suggests possible strategies prevention.