Emily Morell, Elizabeth Colglazier, Jasmine Becerra, Leah Stevens, Martina A Steurer, Anshuman Sharma, Hung Nguyen, Irfan S Kathiriya, Stephen Weston, David Teitel, Roberta Keller, Elena K Amin, Hythem Nawaytou, Jeffrey R Fineman
Cardiac catheterization remains the gold standard for the diagnosis and management of pediatric pulmonary hypertension (PH). There is lack of consensus regarding optimal anesthetic and airway regimen. This retrospective study describes the anesthetic/airway experience of our single center cohort of pediatric PH patients undergoing catheterization, in which obtaining hemodynamic data during spontaneous breathing is preferential. A total of 448 catheterizations were performed in 232 patients. Of the 379 cases that began with a natural airway, 274 (72%) completed the procedure without an invasive airway, 90 (24%) received a planned invasive airway, and 15 (4%) required an unplanned invasive airway...
April 2024: Pulmonary Circulation