UNVEILING PREOPERATIVE CLINICAL PROFILES IN PEDIATRIC AORTIC COARCTATION: INSIGHTS INTO SURGICAL INTERVENTIONS AND INSTITUTIONAL ANESTHESIA PRACTICES

Objective: The study seeks to provide valuable insights into the outcomes of anesthesia and surgical practices employed in our institution, addressing the challenges posed by preoperative conditions such as heart failure, inotropic support requirements, and mechanical ventilation needs, particularly in the delicate population of newborns. Materials and Methods: Our investigation conducted a retrospective analysis encompassing all patients who underwent surgery for aortic coarctation at the Pediatric Cardiac Surgery Clinic of the 350-bed Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital Hospital between 2012 and 2021. Results: The study encompassed a cohort of 97 patients spanning from newborns to adolescents, with 61 males and 36 females, revealing a 19.5% incidence of genetic anomalies. Intraoperatively, 4.1% of patients required vasodi-lators, and 13.4% had a triple inotropic requirement. Postoperatively, monitoring distribution included 59 patients in the cardiac surgery intensive care unit, 36 in the neonatal intensive care unit, and 2 in the pediatric intensive care unit. Early extubation within the first 24 hours was achieved in 57.7% of patients. Conclusion: This research contributes critical insights aimed at refining treatment strategies and enhancing overall out-comes, with particular attention to addressing challenges related to delayed extubation and postoperative vaso-dilator requirements.