Paediatric anaesthesia & critical care

Perioperative Characteristics and Outcomes of Home‐Ventilated Children Undergoing Non‐Cardiac Surgery in the Pediatric National Surgical Quality Improvement Program (NSQIP) Database

Paediatr AnaesthPublished retrospective cohort analysis

Authors' conclusion

Although children dependent on LTV have high medical complexity, serious postoperative adverse events are rare following elective surgery.

Study context

Population
Pediatric patients with long-term ventilation (LTV)-dependence via tracheostomy undergoing elective non-cardiac surgerypediatric patients with home tracheostomy and ventilation requirements undergoing elective non-cardiac surgery
Participants
1,291 patients
Outcome
Intraoperative cardiac arrest or unplanned loss of secure airway
Methodological detailsPediatric National Surgical Quality Improvement Program (NSQIP) database from 2019 to 2023
  • Pediatric National Surgical Quality Improvement Program (NSQIP) database from 2019 to 2023

Main finding

As reported in the abstract

  • No reported intraoperative cardiac arrests or unplanned loss of secure airway amongst all patients (2019-2023)

Observational data: associations, not effects.

Further findings

Postoperative cardiac arrest requiring CPR

Patients with cardiac arrest requiring CPR
five patients (0.4%)

30-day mortality

Patients with 30-day mortality
three patients (0.2%)

30-day readmission

Overall 30-day readmission
12% (n = 153)
Unplanned, of the 30-day readmissions
81% (n = 124)

Original publication

Perioperative Characteristics and Outcomes of Home‐Ventilated Children Undergoing Non‐Cardiac Surgery in the Pediatric NSQIP Database. Paediatr Anaesth. Published 5 October 2026. doi:10.1002/pan.70324

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