Cardiothoracic & vascular anesthesia
National practice patterns for the use of regional anesthesia for pediatric cardiac surgery: An analysis of the Society of Thoracic Surgeons congenital heart surgery database
Authors' conclusion
RA use is increasing in pediatric cardiac surgery in the U.S. and may be associated with surgery-specific outcome improvements.
Study context
- Population
- Patients <18 years undergoing cardiac surgery, Society of Thoracic Surgeons Congenital Cardiac Anesthesia Society Database, 01/2016–05/2023operations from 62 US centers
- Participants
- 95,514 patients
- Exposure
- Regional anesthesia (RA) vs no RA
- RAn = 7,997
- Outcome
- National trends in RA use
Methodological detailsmulticentre registry, multivariable modeling
- Multicentre registry
- Multivariable modeling
Main finding
As reported in the abstract
RA use
| Group | Value | 2016 | 2023 |
|---|---|---|---|
| RA | 8.4 % | 6.1 % | 12.5 % |
RA
Value8.4 %
20166.1 %
202312.5 %
- Significant increases in RA use across all age groups and surgical risk categories
- P < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Extubation in the OR (sub-analysis: ASD/VSD repairs and Fontan procedures)More likely with RA | P < 0.001 |
| Short LOS (sub-analysis: ASD and VSD)More likely with RA | P < 0.001 |
- Extubation in the OR (sub-analysis: ASD/VSD repairs and Fontan procedures): sub-analysis cohort N = 7931
Original publication
National practice patterns for the use of regional anesthesia for pediatric cardiac surgery: An analysis of the Society of Thoracic Surgeons congenital heart surgery database. J Clin Anesth. Published 8 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →