Non-Operating Room Anesthesia In Children Undergoing Interventional Cardiac Procedures

Aim: With advances in medical technology in the last decades, diagnostic and therapeutic interventional procedures are increasingly being applied in the pediatric population. Those procedures are frequently performed under non-operating room anesthesia. The aim of this study was to report our non-operating room anesthesia experience of interventional cardiac procedures in the pediatric population.Material and Methods: Retrospective analysis of 156 patients who underwent interventional cardiac procedure under non-operating room anesthesia was conducted.Results: All procedures were performed under general anesthesia using an endotracheal tube (85.9%) or laryngeal mask (14.1%). The two airway instruments were similar in complication, total hospitalization time, and need for a pediatric intensive care unit. There were no differences in complication, total hospitalization time, and need for a pediatric intensive care unit between the patients who were administered neuromuscular relaxant and those without neuromuscular relaxant. Among the patients who were administered neuromuscular relaxant, there were no differences in complication, total hospitalization time, and need for a pediatric intensive care unit between patients receiving sugammadex and those not using a neuromuscular blockage antagonist.Discussion: The laryngeal mask can be used as safely as an endotracheal tube in pediatric interventional cardiac procedures under non-operating room anesthesia. Propofol plus remifentanil with or without rocuronium is a suitable combination for induction of anesthesia. Sugammadex is a reliable option in reversing the neuromuscular blockage.