Amir-Reza Hosseinpour1, Mathieu van Steenberghe1, Marc-André Bernath2, Stefano Di Bernardo3, Marie-Hélène Pérez4, David Longchamp4, Mirko Dolci2, Yann Boegli2, Nicole Sekarski3, Javier Orrit1, Michel Hurni1, René Prêtre1, Jacques Cotting4
Congenital Heart Disease, Vol.12, No.5, pp. 570-577, 2017, DOI:10.1111/chd.12485
Abstract Objective: An important aspect of perioperative care in pediatric cardiac surgery is maintenance
of optimal hemodynamic status using vasoactive/inotropic agents. Conventionally, this has
focused on maintenance of cardiac output rather than perfusion pressure. However, this approach
has been abandoned in our center in favor of one focusing primarily on perfusion pressure, which
is presented here and compared to the conventional approach.
Design: A retrospective study.
Setting: Regional center for congenital heart disease. University Hospital of Lausanne,
Switzerland.
Patients: All patients with Aristotle risk score ≥8 that underwent surgery from 1996 to 2012
were included. Patients operated between 1996 and 2005… More >
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