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Comparative Study
. 2019 Aug 20;25(4):205-210.
doi: 10.5761/atcs.oa.18-00242. Epub 2019 Mar 12.

Comparison of Fast-Track and Conventional Anesthesia for Transthoracic Closure of Ventricular Septal Defects in Pediatric Patients

Ling-Shan Yu  1 , Qiang Chen  1 , Zeng-Chun Wang  1 , Hua Cao  1 , Liang-Wan Chen  1 , Gui-Can Zhang  1
Affiliations
Comparative Study

Comparison of Fast-Track and Conventional Anesthesia for Transthoracic Closure of Ventricular Septal Defects in Pediatric Patients

Ling-Shan Yu et al. Ann Thorac Cardiovasc Surg. .

Abstract

Background: To compare and analyze the safety and efficacy of fast-track and conventional anesthesia for transthoracic closure of ventricular septal defects (VSDs) in pediatric patients.

Methods: A total of 82 pediatric patients undergoing transthoracic closure of VSDs between September and December 2017 were retrospectively analyzed. The patients were divided into two groups, including 42 patients in group F (fast-track anesthesia) and 40 patients in group C (conventional anesthesia). The perioperative clinical data of both groups were collected and statistically analyzed.

Results: There were no fatal complications in both groups. No complete atrioventricular block (AVB), new aortic valve regurgitation, and device closure failure were observed. No significant difference was found in preoperative general data or intraoperative hemodynamic changes between the two groups (P >0.05). However, the mechanical ventilation time, length of postoperative intensive care unit (ICU) stay, length of hospital stay, and hospitalization expenses of group F were significantly lower than those of group C (P <0.05).

Conclusion: It is safe and effective to use fast-track anesthesia for transthoracic closure of VSDs in pediatric patients.

Keywords: CHD; cardiac intervention; fast-track anesthesia; septal defects.

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