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This study evaluates the association between perioperative echocardiographic Doppler findings and clinical outcomes in pediatric patients undergoing cardiac surgery. In our center, anesthesiologists perform transthoracic or transesophageal echocardiography during perioperative period routinely in children undergoing surgery for congenital cardiac disease. Echocardiographic findings include the doppler patterns of hepatic vein, portal vein, renal artery, renal vein and splenic vein before and after cardiopulmonary bypass. Portal pulsatility index, renal resistive index, and respiratory variations in peak aortic blood flow velocity and diameter of inferior vena cava are measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Children with congenital cardiac disease | Children with congenital cardiac disease who undergoing surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Echocardiography | Diagnostic Test | Echocardiographic examination before and after cardiopulmonary bypass |
|
| Measure | Description | Time Frame |
|---|---|---|
| Characteristics of Doppler values and its derived parameters of portal vein, hepatic vein, renal artery and vein, and splenic vein measured using echocardiography in children with congenital cardiac disease | To find the characteristics and standard values of Doppler findings measured by echocardiography before and after congenital cardiac surgery | after anesthetic induction until the end of surgery |
| Association between Doppler values measured by echocardiography and clinical outcomes after pediatric cardiac surgery | To evaluate whether Doppler values of portal vein, hepatic vein, renal artery and vein, and splenic vein measured using echocardiography can predict major adverse outcomes after pediatric cardiac surgery | through study completion, an average 1-2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with major adverse outcomes after pediatric cardiac surgery | through study completion, an average 1-2 years |
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Inclusion Criteria:
Exclusion Criteria:
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Pediatric patients undergoing cardiac surgery
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 03080 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37919629 | Derived | Lee JH, Denault AY, Beaubien-Souligny W, Kang P, Kim J, Kim HW, Ji SH, Jang YE, Kim EH, Kim HS, Kim JT. Higher portal venous pulsatility is associated with worse clinical outcomes following congenital heart surgery: a single-centre prospective cohort study. Can J Anaesth. 2023 Dec;70(12):1957-1969. doi: 10.1007/s12630-023-02605-0. Epub 2023 Nov 2. |
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| ID | Term |
|---|---|
| D006330 | Heart Defects, Congenital |
| ID | Term |
|---|---|
| D018376 | Cardiovascular Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
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| ID | Term |
|---|---|
| D004452 | Echocardiography |
| ID | Term |
|---|---|
| D057791 | Cardiac Imaging Techniques |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D014463 | Ultrasonography |
| D006334 | Heart Function Tests |
| D003935 | Diagnostic Techniques, Cardiovascular |