Pediatric anesthesia & critical care

First Characterization of Tissue Oxygen Saturation Recovery Patterns in Pediatric Cardiac Surgery Patients Undergoing Remote Ischemic Preconditioning and the Association With Clinical Outcomes

J Cardiothorac Vasc AnesthPublished Prospective longitudinal observational study

Authors' conclusion

Specific patterns of SrO2 response to RIPC may serve as important indicators for risk stratification in congenital heart surgery.

Study context

Population
Children (<18 y) scheduled for elective cardiac surgery with CPB, Fundación Valle Del Lili, August 2022–July 2023
Exposure
Saturation (SrO2) response patterns during remote ischemic preconditioning (RIPC)
Outcome
SrO2 patterns during RIPC and postoperative outcomes
Methodological detailssingle-centre, RIPC after anaesthetic induction: cycles of ischaemia and reperfusion on a lower limb; SrO2 monitored by near-infrared spectroscopy (NIRS)
  • Single-centre
  • RIPC after anaesthetic induction: cycles of ischaemia and reperfusion on a lower limb; SrO2 monitored by NIRS

Main finding

As reported in the abstract

  • 4 distinct SrO2 patterns identified during RIPC
  • Negative SrO2 pattern significantly associated with more postoperative adverse events, incl. longer hospital LOS and higher mortality
  • Positive pattern associated with better outcomes

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

First Characterization of Tissue Oxygen Saturation Recovery Patterns in Pediatric Cardiac Surgery Patients Undergoing Remote Ischemic Preconditioning and the Association With Clinical Outcomes. J Cardiothorac Vasc Anesth. Published 2 March 2024. doi:10.1053/j.jvca.2024.02.037

Composed by AI from the published abstract and checked against it. How Briefs are made →

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