Background
Methods
Subjects
Grouping and treatment
Anesthesia method and hemodynamic monitoring
Assessment
Statistical analysis
Results
Parameters | Ultra-fast track anesthesia (n = 97) | Conventional anesthesia (n = 97) | P value |
---|---|---|---|
Male/female (no.) | 45/52 | 49/48 | 0.231 |
Age (year) | 1.2 ± 0.5 | 1.1 ± 0.5 | 0.331 |
Body weight (kg) | 9.1 ± 1.1 | 9.2 ± 1.1 | 0.289 |
No. pre-term patients | 46 | 44 | 0.782 |
Birth weight (kg) | 2.3 ± 0.46 | 2.2 ± 0.38 | 0.389 |
ASAIII /VI (no.) | 52 / 45 | 46 / 51 | 0.254 |
CHD classification | |||
Atrial septal defect (no.) | 48 | 52 | 0.612 |
Ventricular septal defect (no.) | 30 | 30 | 0.452 |
Atrioventricular septal defect | 2 | 3 | 0.652 |
D-transposition of the great arteries | 4 | 3 | 0.978 |
Tetralogy of fallot (no.) | 19 | 15 | 0.334 |
Coarctation of the aorta | 2 | 3 | 0.778 |
Interruption arterial arch | 1 | 1 | 0.978 |
Pulmonary stenosis | 5 | 4 | 0.878 |
Ventricular outflow tract obstruction | 6 | 8 | 0.478 |
Anesthesia time (h) | 3.4 ± 1.1 | 3.3 ± 1.0 | 0.342 |
Surgery time (min) | 297.1 ± 22.8 | 289.0 ± 20.5 | 0.551 |
CPB time (min) | 47.4 ± 11.8 | 46.3 ± 10.7 | 0.234 |
Block time (min) | 30.2 ± 8.9 | 31.4 ± 9.1 | 0.331 |
Parameters | Anesthesia | No. case | T0 | T1 | T2 | T3 | T4 | T5 | T6 |
---|---|---|---|---|---|---|---|---|---|
MAP | UTFA | 97 | 60.9 ± 5.6 | 56.9 ± 4.2 | 56.6 ± 4.1 | 50.2 ± 5.4 | 30.1 ± 2.2 | 59.4 ± 3.9 | 59.1 ± 3.6 |
(mmHg) | Conventional | 97 | 60.5 ± 5.3 | 57.3 ± 4.0 | 56.4 ± 4.5 | 49.6 ± 4.8 | 29.5 ± 2.4 | 61.4 ± 4.2 | 60.2 ± 4.8 |
HR | UTFA | 97 | 130.4 ± 4.3 | 129.3 ± 4.3 | 124.4 ± 4.9 | 128.4 ± 4.3 | / | 136.4 ± 4.6 | 136.4 ± 6.3 |
(time/m) | Conventional | 97 | 129.4 ± 4.1 | 130.4 ± 4.1 | 131.4 ± 4.3 | 131.4 ± 4.3 | / | 137.2 ± 4.8 | 136.8 ± 5.8 |
CVP | UTFA | 97 | 4.5 ± 0.9 | 4.9 ± 0.7 | 5.3 ± 1.0 | 5.3 ± 1.1 | / | 6.4 ± 0.3 | 6.4 ± 0.4 |
(mmHg) | Conventional | 97 | 4.6 ± 0.8 | 5.0 ± 0.9 | 5.2 ± 1.2 | 5.2 ± 1.0 | / | 6.8 ± 0.5 | 6.8 ± 0.4 |
Ultra-fast track anesthesia | Conventional anesthesia | |
---|---|---|
No. case | 97 | 97 |
Extubation time (min) | 22.9 ± 3.5a | 189.1 ± 31.2 |
ICU stay (h) | 20.7 ± 6.5a | 28.5 ± 4.2 |
Postoperative hospital stay (d) | 11.5 ± 3.0a | 16.1 ± 2.4 |
SAS scores | ||
At extubation | 3.8 ± 0.6a | 4.8 ± 0.7 |
6 h- postoperation | 3.9 ± 0.4 | 3.9 ± 0.6 |
12 h- postoperation | 4.0 ± 0.6 | 4.0 ± 0.6 |
24 h- postoperation | 4.0 ± 0.5 | 3.9 ± 0.5 |
Ultra-fast track anesthesia | Conventional anesthesia | |
---|---|---|
No. case | 97 | 97 |
Ventilator-associated pneumonia (n) | 3 | 5a |
Continuous positive airway pressure use (n) | 3 | 3 |
Reintubation (n) | 5 | 6 |
Respiratory tract infections (n) | 3 | 4 |
Adverse event | Ultra-fast track anesthesia | Conventional anesthesia |
---|---|---|
No. case | 97 | 97 |
Airway obstruction | 0 | 0 |
Arrhythmia | 1 | 1 |
Infection | 1 | 2 |
Bleeding | 1 | 1 |
Pneumothorax | 0 | 0 |