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Complications relating to perfusion and extracorporeal circulation associated with the treatment of patients with congenital cardiac disease: Consensus Definitions from the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease

Part of: The International Society for Nomenclature of Paediatric and Congenital Heart Disease (ISNPCHD)

Published online by Cambridge University Press:  01 December 2008

Kenneth G. Shann ,
Carmen R. Giacomuzzi ,
Lynn Harness ,
Gerard J. Myers ,
Theron A. Paugh ,
Nicholas Mellas ,
Robert C. Groom ,
Daniel Gomez ,
Clarke A. Thuys  and
Kevin Charette
...Show all authors
Kenneth G. Shann*
Affiliation:
Department of Cardiothoracic Surgery, Montefiore-Einstein Heart Center, Bronx, New York, United States of America
Carmen R. Giacomuzzi
Affiliation:
Oregon Health and Sciences University – Doernbecher Children’s Hospital, Portland, Oregon, United States of America
Lynn Harness
Affiliation:
Department of Cardiothoracic Surgery, Arkansas Children’s Hospital, Little Rock, Arkansas, United States of America
Gerard J. Myers
Affiliation:
Queen Elizabeth II Health Sciences Center, IWK Health Center, Halifax, Nova Scotia, Canada
Theron A. Paugh
Affiliation:
University of Michigan Medical Center, Ann Arbor, Michigan, United States of America
Nicholas Mellas
Affiliation:
Department of Cardiothoracic Surgery, Montefiore-Einstein Heart Center, Bronx, New York, United States of America
Robert C. Groom
Affiliation:
Maine Medical Center, Portland, Maine, United States of America
Daniel Gomez
Affiliation:
Nationwide Children’s Hospital, Columbus, Ohio, United States of America
Clarke A. Thuys
Affiliation:
Department of Cardiac Surgery, Royal Children’s Hospital, Melbourne, Victoria, Australia
Kevin Charette
Affiliation:
Children’s Hospital of New York, New York, New York, United States of America
Jorge W. Ojito
Affiliation:
The Congenital Heart Institute at Miami Children’s Hospital, Miami, Florida, United States of America
Julie Tinius-Juliani
Affiliation:
Department of Cardiothoracic Surgery, University of Southern California, Los Angeles, California, United States of America
Christos Calaritis
Affiliation:
Montreal Children’s Hospital, McGill University Health Centre, Montreal, Quebec, Canada
Craig M. McRobb
Affiliation:
Duke University Health Systems, Durham, North Carolina, United States of America
Michael Parpard
Affiliation:
The Congenital Heart Institute of Florida (CHIF), Divisions of Thoracic and Cardiovascular Surgery, Perfusion, and Critical Care, All Children’s Hospital and Children’s Hospital of Tampa, University of South Florida College of Medicine, Cardiac Surgical Associates (CSA), Florida Perfusion Services, and Florida Pediatric Associates, Saint Petersburg and Tampa, Florida, United States of America
Tom Chancy
Affiliation:
The Congenital Heart Institute of Florida (CHIF), Divisions of Thoracic and Cardiovascular Surgery, Perfusion, and Critical Care, All Children’s Hospital and Children’s Hospital of Tampa, University of South Florida College of Medicine, Cardiac Surgical Associates (CSA), Florida Perfusion Services, and Florida Pediatric Associates, Saint Petersburg and Tampa, Florida, United States of America
Emile Bacha
Affiliation:
Department of Cardiac Surgery, Children’s Hospital Boston, Boston, Massachusetts, United States of America
David S. Cooper
Affiliation:
The Congenital Heart Institute of Florida (CHIF), Divisions of Thoracic and Cardiovascular Surgery, Perfusion, and Critical Care, All Children’s Hospital and Children’s Hospital of Tampa, University of South Florida College of Medicine, Cardiac Surgical Associates (CSA), Florida Perfusion Services, and Florida Pediatric Associates, Saint Petersburg and Tampa, Florida, United States of America
Jeffrey Phillip Jacobs
Affiliation:
The Congenital Heart Institute of Florida (CHIF), Divisions of Thoracic and Cardiovascular Surgery, Perfusion, and Critical Care, All Children’s Hospital and Children’s Hospital of Tampa, University of South Florida College of Medicine, Cardiac Surgical Associates (CSA), Florida Perfusion Services, and Florida Pediatric Associates, Saint Petersburg and Tampa, Florida, United States of America
Donald S. Likosky
Affiliation:
Departments of Surgery and Community and Family Medicine, Dartmouth Medical School, and The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, New Hampshire, United States of America
*
Correspondence to: Kenneth G. Shann, CCP, Assistant Director, Perfusion Services, Senior Advisor, Cardiac Surgery Performance Improvement, Montefiore-Einstein Heart Center, Bronx, New York, United States of America. Tel: 718 920 8951; Fax: 718 652 1833; E-mail: kshann@montefiore.org
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Abstract

The International Consortium for Evidence-Based Perfusion (www.bestpracticeperfusion.org) is a collaborative partnership of societies of perfusionists, professional medical societies, and interested clinicians, whose aim is to promote the continuous improvement of the delivery of care and outcomes for patients undergoing extracorporeal circulation. Despite the many advances made throughout the history of cardiopulmonary bypass, significant variation in practice and potential for complication remains. To help address this issue, the International Consortium for Evidence-Based Perfusion has joined the Multi-Societal Database Committee for Pediatric and Congenital Heart Disease to develop a list of complications in congenital cardiac surgery related to extracorporeal circulation conducted via cardiopulmonary bypass, extracorporeal membrane oxygenation, or mechanical circulatory support devices, which include ventricular assist devices and intra-aortic balloon pumps. Understanding and defining the complications that may occur related to extracorporeal circulation in congenital patients is requisite for assessing and subsequently improving the care provided to the patients we serve. The aim of this manuscript is to identify and define the myriad of complications directly related to the extracorporeal circulation of congenital patients.

Keywords

Congenital heart diseasequality improvementpatient safetyoutcomesregistryoperative morbiditypaediatricsurgerycongenital abnormalitiescardiac surgical proceduresheartcardiopulmonary bypass
Type
Original Article
Information
Cardiology in the Young , Volume 18 , Issue S2: Databases and the assessment of complications associated with the treatment of patients with congenital cardiac disease , December 2008 , pp. 206 - 214
Copyright
Copyright © Cambridge University Press 2008

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