Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-30T23:46:09.687Z Has data issue: false hasContentIssue false
  • English
  • Français

Achieving resonance in a programme for congenital cardiac surgery

Published online by Cambridge University Press:  21 September 2005

Redmond P. Burke ,
Evan M. Zahn  and
Anthony F. Rossi
Redmond P. Burke
Affiliation:
Miami Children's Hospital, Miami, Florida, USA
Evan M. Zahn
Affiliation:
Miami Children's Hospital, Miami, Florida, USA
Anthony F. Rossi
Affiliation:
Miami Children's Hospital, Miami, Florida, USA
Get access Rights & Permissions [Opens in a new window]

Extract

In 1995, Miami Children's Hospital recognized an institutional problem with its programme providing surgical treatment for congenital cardiac malformations. There was a high rate of mortality for neonatal surgery, and no patients had survived attempted first stage palliation for hypoplastic left heart syndrome. The hospital enlisted nationally recognized consultants in congenital cardiac surgery and cardiology to review the existing programme, and to make recommendations for improvement. Based on these recommendations, a new team was recruited. The recruits were a young attending surgeon, an interventional cardiologist, and a cardiac intensivist, attracted from recognized centers of excellence in Boston and Toronto.

Type
Norwood Procedure and Staged Palliation
Information
Cardiology in the Young , Volume 14 , Issue S1 , February 2004 , pp. 75 - 82
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Jenkins KJ, Newburger JW, Lock JE, Davis RB, Coffman GA, Iezzoni LI. In-hospital mortality for surgical repair of congenital heart defects: preliminary observations of variation by hospital caseload. Pediatrics 1995; 95: 323–330.Google Scholar
Jenkins KJ, Gauvreau K. Center-specific differences in mortality: preliminary analyses using the Risk Adjustment in Congenital Heart Surgery (RACHS-1) method. J Thorac Cardiovasc Surg 2002; 124: 97–104.Google Scholar
Sollano JA, Gelijns AC, Moskowitz AJ, Heitjan DF, Cullinane S, Saha T, Chen JM, Roohan PJ, Reemtsma K, Shields EP. Volume–outcome relationships in cardiovascular operations: New York State, 1990–1995. J Thorac Cardiovasc Surg 1999; 117: 419–428.Google Scholar
Hannan EL, Racz M, Kavey RE, Quaegebeur JM, Williams R. Pediatric cardiac surgery: the effect of hospital and surgeon volume on in-hospital mortality. Pediatrics 1998; 101: 963–969.Google Scholar
Donchin Y, Seagull FJ. The hostile environment of the intensive care unit. Curr Opin Crit Care 2002; 8: 316–320.Google Scholar
Fischer JE, Calame A, Dettling AC, Zeier H, Fanconi S. Experience and endocrine stress responses in neonatal and pediatric critical care nurses and physicians. Crit Care Med 2000; 28: 3281–3288.Google Scholar
Jacobs JP, Ojito JW, McConaghey TW, Boden BD, Chang AC, Aldousany A, Zahn EM, Burke RP. Rapid cardiopulmonary support for children with complex congenital heart disease. Ann Thorac Surg 2000; 70: 742–749.Google Scholar
Ojito J, Hannan RL, Miyaji K, White JA, McConaghey TW, Jacobs JP, Burke RP. Assisted venous drainage cardiopulmonary bypass in congenital heart surgery. Ann Thorac Surg 2001; 71: 1267–1271.Google Scholar
Miyaji K, Hannan RL, Ojito J, Jacobs JP, White JA, Burke RP. Heparin-coated cardiopulmonary bypass circuit: clinical effects in pediatric cardiac surgery. J Card Surg 2000; 15: 194–198.Google Scholar
Ohuchi H, Okabe H, Nagata N, Kaneko Y. Aprotinin reduces homologous blood transfusions when pediatric cardiac surgery must be redone. Nippon Kyobu Geka Gakkai Zasshi 1996; 44: 1980–1985.Google Scholar
Parra DA, Totapally BR, Zahn E, Jacobs J, Aldousany A, Burke RP, Chang AC. Outcome of cardiopulmonary resuscitation in a pediatric cardiac intensive care unit. Crit Care Med 2000; 28: 3296–3300.Google Scholar
Imoto Y, Kado H, Shiokawa Y, Fukae K, Yasui H. Norwood procedure without circulatory arrest. Ann Thorac Surg 1999; 68: 559–561.Google Scholar
Zahn EM, Chang AC, Aldousany A, Burke RP. Emergent stent placement for acute Blalock-Taussig shunt obstruction after stage 1 Norwood surgery. Cathet Cardiovasc Diagn 1997; 42: 191–194.Google Scholar
Ishino K, Stumper O, De Giovanni JJ, Silove ED, Wright JG, Sethia B, Brawn WJ, de Leval M. The modified Norwood procedure for hypoplastic left heart syndrome: early to intermediate results of 120 patients with particular reference to aortic arch repair. J Thorac Cardiovasc Surg 1999; 117: 920–930.Google Scholar
Clancy RR, McGaurn SA, Wernovsky G, Spray TL, Norwood WI, Jacobs ML, Murphy JD, Gaynor JW, Goin JE. Preoperative risk-of-death prediction model in heart surgery with deep hypothermic circulatory arrest in the neonate. J Thorac Cardiovasc Surg 2000; 119: 347–357.Google Scholar
Malec E, Januszewska K, Kolz J, Pajak J. Factors influencing early outcome of Norwood procedure for hypoplastic left heart syndrome. Eur J Cardiothorac Surg 2000; 18: 202–206.Google Scholar
Drinkwater DC Jr, Aharon AS, Quisling SV, Dodd D, Reddy VS, Kavanaugh-McHugh A, Doyle T, Patel NR, Barr FE, Kambam JK, Graham TP, Chang PA. Modified Norwood operation for hypoplastic left heart syndrome. Ann Thorac Surg 2001; 72: 2081–2086.Google Scholar
Gaynor JW, Mahle WT, Cohen MI, Ittenbach RF, DeCampli WM, Steven JM, Nicolson SC, Spray TL. Risk factors for mortality after the Norwood procedure. Eur J Cardiothorac Surg 2002; 22: 82–89.Google Scholar