Transthoracic intracardiac catheters in pediatric patients recovering from congenital heart defect surgery: Associated complications and outcomes

Flori, Heidi R.; Johnson, Lori D.; Hanley, Frank L.; Fineman, Jeffrey R.

doi:10.1097/00003246-200008000-00053

Cited by 64 publications

(56 citation statements)

References 11 publications

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“…469 However, as PHCs have become less frequent, the use of PA catheters has decreased in clinical practice. The routine use of PA catheters in populations with a low risk for PHC may delay patient recovery and prolong intensive care unit stay without clear benefits.…”

Section: Phcs/acute Rv Failurementioning

confidence: 99%

Pediatric Pulmonary Hypertension

Abman¹,

Hansmann²,

Archer³

et al. 2015

Circulation

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921

405

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Abstract-Pulmonary hypertension is associated with diverse cardiac, pulmonary, and systemic diseases in neonates, infants, and older children and contributes to significant morbidity and mortality. However, current approaches to caring for pediatric patients with pulmonary hypertension have been limited by the lack of consensus guidelines from experts in the field. In a joint effort from the American Heart Association and American Thoracic Society, a panel of experienced clinicians and clinician-scientists was assembled to review the current literature and to make recommendations on the diagnosis, evaluation, and treatment of pediatric pulmonary hypertension. This publication presents the results of extensive literature reviews, discussions, and formal scoring of recommendations for the care of children with pulmonary hypertension. Key Words: AHA Scientific Statements ◼ bronchopulmonary dysplasia ◼ congenital diaphragmatic hernia ◼ congenital heart disease ◼ genetics ◼ persistent pulmonary hypertension of the newborn ◼ sickle cell disease © 2015 by the American Heart Association, Inc., and the American Thoracic Society.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000329 †Deceased. The American Heart Association and the American Thoracic Society make every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This document was approved by the American Heart Association Science Advisory and Coordinating Committee on May 12, 2015, the American Heart Association Executive Committee on July 22, 2015, and the American Thoracic Society on July 24, 2015.The online-only Data Supplement is available with this article at http://circ.ahajournals.org/lookup/suppl/doi:10.1161/CIR.0000000000000329/-/DC1. The American Heart Association requests that this document be cited as follows: Abman SH, Hansmann G, Archer SL, Ivy DD, Adatia I, Chung WK, Hanna BD, Rosenzweig EB, Raj JU, Cornfield D, Stenmark KR, Steinhorn R, Thébaud B, Fineman JR, Kuehne T, Feinstein JA, Friedberg MK, Earing M, Barst RJ, Keller RL, Kinsella JP, Mullen M, Deterding R, Kulik T, Mallory G, Humpl T, Wessel DL; on behalf of the American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Radiology and Intervention, Council on Cardiovascular Surgery and Anesthesia, and the American Thoracic Society. Pediatric pulmonary hypertension: guidelines from the American Heart Association and American Thoracic Society. Circulation. 2015;132:2037-2099 Copies: This document is available on the World Wide Web site of the American Heart Associat...

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Section: Phcs/acute Rv Failurementioning

confidence: 99%

Pediatric Pulmonary Hypertension

Abman¹,

Hansmann²,

Archer³

et al. 2015

Circulation

Self Cite

921

405

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“…Tibby et al showed that even experienced pediatric intensive care specialists are not able to accurately estimate the cardiac index using only basic monitoring and laboratory values . Additional information can be obtained from central venous pressures (measured by central venous catheters either inserted traditionally percutaneously or transthoracically during cardiac surgery) and pressures in the left atrium and pulmonary artery (measured by transthoracic intracardiac catheters, inserted under direct vision during cardiac surgery) . Left atrial (LA) catheters enable monitoring of the left‐sided atrial pressure, which is a marker of the left ventricular preload and compliance.…”

Section: Introductionmentioning

confidence: 99%

“…Transthoracic intracardiac catheters are widely used in some institutions, but studies on the management of these catheters are limited. Three studies on the subject have been published, but only one is recent . As both the catheters available and the management of children with congenital heart disease has evolved significantly during this time period, the results of these two earlier studies are potentially no longer applicable.…”

Section: Introductionmentioning

confidence: 99%

Transthoracic intracardiac catheters in pediatric cardiac patients: A single‐center experience

Beham

Dave

Kelly

et al. 2017

Pediatric Anesthesia

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Transthoracic intracardiac catheters are useful in the management of specific patient groups with complex congenital heart defects. Adverse events do occur; most of them do not require intervention. The insertion technique plays an important role in avoiding adverse events. Strict guidelines for the use and removal of transthoracic intracardiac catheters are required. Low platelet count should delay catheter removal. The wealth of information and therapeutic options offered by these catheters appear to outweigh the associated potential adverse events in this specific patient group.

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“…5 In this age group, small bore catheters are used temporarily, removed by simple traction, and are not associated with significant complication. 5 The procedure is not technically demanding and its complications are related mainly to the patient's general conditions.…”

Section: Discussionmentioning

confidence: 99%