Pediatric anesthesia & critical care
Description and Management of Cardiac Arrests in Congenital Cardiac Patients Undergoing Cardiac Surgery, Cardiac Catheterization, and Cardiac Imaging
Authors' conclusion
Patients who experienced cardiac arrest while under the care of a pediatric cardiac anesthesiologist had a median CPR duration of 4 minutes. The sole independent predictor of death or neurologic injury within 7 days was the use of ECMO.
Study context
- Population
- Patients with congenital heart disease with cardiac arrest during anaesthesia care by a pediatric cardiac anesthesiologist for cardiac procedures or imaging, quaternary children's hospital, 2016–2022
- Participants
- 76 cardiac arrests
- Outcome
- Death or neurologic injury within 7 days
- Follow-up
- 7 days
Methodological detailsretrospective chart review, single-centre
- Retrospective chart review
- Single-centre
Main finding
As reported in the abstract
- Death or neurologic injury within 7 days, n (%)
- 18 (24%)
- Extracorporeal membrane oxygenation (ECMO) use independently associated with composite outcome (multivariable), aOR 16, 95% CI 2.1-93.2
- p = 0.006
Observational data: associations, not effects.
Further findings
Arrest characteristics and management
- Median cardiopulmonary resuscitation (CPR) duration, minutes (IQR 1-11)
- 4
- Location: cardiac catheterization laboratory, n (%)
- 43 (57%)
- Location: cardiac OR, n (%)
- 25 (33%)
- During the procedure, n (%)
- 60 (79%)
- Etiology arrhythmia, n (%)
- 29 (38%)
- Etiology low CO or ischemia, n (%)
- 21 (28%)
- Code dose of epinephrine (10 µg/kg or 1 mg), n (%)
- 31 (44%)
- Required ECMO, n (%)
- 25 (33%)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Description and Management of Cardiac Arrests in Congenital Cardiac Patients Undergoing Cardiac Surgery, Cardiac Catheterization, and Cardiac Imaging. J Cardiothorac Vasc Anesth. Published 22 July 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →