Pediatric heart surgery minimally invasive: experience of a Colombian center

Abstract

Objective: During the past decades, cardiac surgery has revolutionized; there is a growing interest in minimizing the physical aggression of surgical procedures, seeking a quick recovery, minimally invasive approaches have been a trend in recent years, with safety and efficacy equivalent to traditional techniques sternotomy. The objective of this study is to compare clinical results between pediatric patients with congenital heart disease undergoing minimally invasive surgery versus standard sternotomy. Methods: Case-control study, nested in a retrospective cohort. All pediatric patients over 10 kg in weight were included, between 2014 and 2019 who underwent surgical correction of simple congenital heart disease, in a cardiovascular center in Medellin. A case was defined as one that underwent a minimally invasive approach (minimally-invasive cardiac surgeries [MICS]) and control patients who were approached in a conventional manner (CONV). 122 patients were admitted, with a mean age (MICS: 6,(4)(5)(6)(7)(8)(9)(10)(11)(12)(2)(3)(4)(5)(6)(7)(8). No differences were found in the baseline characteristics of both groups. No statistically significant difference was documented in infusion times ; p = 0.54), nor differences in complications (MICS: 7.4 vs. CONV: 8.8%; p = 0.77). MICS patients had lactate on admission and a shorter intensive care unit stay than controls. Conclusion: The MICS approach turns out to be a novel, less invasive, safe and efficient technique compared to the conventional surgical approach for the repair of simple congenital heart disease in pediatric patients.

Nursing Care of Children Post-Cardiac Surgery in Intensive Care Units: An Integrative Review

“…(continued) as age, weight, and clinical and procedural variables is a priority to reduce the risk of complications. Under this premise, the nursing profession must be trained to recognize the patient's hemodynamic parameters, their alterations, and the best approach to care (Hernández-Ruiz et al, 2022;Johnston et al, 2008;López-Herce Cid et al, 2008). Nurse-patient interaction can identify these complications by assessing signs and symptoms related to hemodynamic instability, ventilation, infection, nutritional collapse, pain, and multiorgan damage.…”

“…In this sense, a differentiated approach to care based on recognizing possible response mediators such as age, weight, and clinical and procedural variables is a priority to reduce the risk of complications. Under this premise, the nursing profession must be trained to recognize the patient’s hemodynamic parameters, their alterations, and the best approach to care (Hernández-Ruiz et al, 2022; Johnston et al, 2008; López-Herce Cid et al, 2008).…”

Validez y fiabilidad del cuestionario ARMS-e en pacientes con Diabetes mellitus tipo 2

“…Respecto del factor relacionado con la recogida de medicación, sí que se agruparon las mismas preguntas (a excepción de la pregunta 11 que fue eliminada del AFCP por no tener variabilidad), sin embargo, en el factor relacionado con la administración de la medicación esto no solo no ocurrió, sino que fue dividido en tres factores más. Aunque podría ser debido a como se distribuyen la respuestas en la escala, el tamaño de muestra fue muy pequeño (KMO= 0,514) (12) . Quizás con una muestra más grande y con una población más heterogénea respecto a la edad, este cuestionario tenga mejores resultados y aumente la VTE (57,49 %).…”