Cardiothoracic & vascular anesthesia

Anesthesia and Sedation Exposure and Neurodevelopmental Outcomes in Infants Undergoing Congenital Cardiac Surgery: A Retrospective Cohort Study

AnesthesiologyPublished Secondary analysis of a prospective observational cohort study

Primary result · Bayley III scores by cumulative exposureResult — go to the resultPoint decrease in Bayley III motor score 0.34 points 95% CI −0.64 to −0.05

Authors' conclusion

Total cumulative exposures to volatile anesthetic agents were not associated with neurodevelopmental impairment in infants with congenital heart disease undergoing various imaging studies and procedures, whereas higher ketamine doses were associated with poorer motor performance.

Study context

Population
Infants with congenital heart disease undergoing cardiac surgery, imaging studies and procedures
Participants
41 vs 69
Comparison
Cumulative exposure to volatile anaesthetics and sedative/anaesthesia medications (dose–response)
  • Single-ventriclen = 41
  • Two-ventriclen = 69
Primary endpoint
Bayley III neurodevelopmental scores
Follow-up
18 months of age
Methodological detailsretrospective
  • Retrospective

Primary result

Bayley III scores by cumulative exposure · 18 months

Point decrease in Bayley III motor score

0.34 points

95% CI −0.64 to −0.05

P = 0.024

As reported in the abstract

Original publication

Anesthesia and Sedation Exposure and Neurodevelopmental Outcomes in Infants Undergoing Congenital Cardiac Surgery: A Retrospective Cohort Study. Anesthesiology. Published 13 July 2023. doi:10.1097/aln.0000000000004684

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