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

• Published in: Cardiology in the young Vol. 18; no. S2; pp. 206 - 214
• Main Authors: Shann, Kenneth G., Giacomuzzi, Carmen R., Harness, Lynn, Myers, Gerard J., Paugh, Theron A., Mellas, Nicholas, Groom, Robert C., Gomez, Daniel, Thuys, Clarke A., Charette, Kevin, Ojito, Jorge W., Tinius-Juliani, Julie, Calaritis, Christos, McRobb, Craig M., Parpard, Michael, Chancy, Tom, Bacha, Emile, Cooper, David S., Jacobs, Jeffrey Phillip, Likosky, Donald S.
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.12.2008
• Subjects: cardiac surgical procedures; Cardiac Surgical Procedures - statistics & numerical data; cardiopulmonary bypass; Child; congenital abnormalities; Congenital heart disease; Consensus; Databases, Factual; Extracorporeal Circulation - adverse effects; heart; Heart Defects, Congenital - surgery; Humans; Intraoperative Complications - epidemiology; Morbidity - trends; operative morbidity; outcomes; paediatric; patient safety; Perfusion - adverse effects; quality improvement; Registries - statistics & numerical data; registry; Societies, Medical; surgery; United States - epidemiology; United States; registry; patient safety; congenital abnormalities; outcomes; quality improvement; cardiac surgical procedures; cardiopulmonary bypass; Congenital heart disease; operative morbidity; heart; paediatric; surgery
• ISSN: 1047-9511; 1467-1107
• DOI: 10.1017/S1047951108003065

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.