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Pediatric
Cardiovascular
Anesthesia Fellowship Update
LITERATURE REVIEW:
A randomized clinical trial of regional cerebral perfusion versus deep hypothermic circulatory arrest: Outcomes for infants with functional single ventricle.
CCAS Database Update
By David F. Vener, M.D.
Thank you to all the CCAS board members for their support in approving our affiliation with the Society of Thoracic Surgeons Congenital Cardiac Surgery Database. By coordinating with the STS, we will be able to avoid unnecessary duplication of data entry and more accurately delineate the exact diagnosis and procedure as agreed upon by the surgical team as well as a a defined list of complications. We are awaiting the legal documents from the STS at this time to commence working on the database definitions, which will then be distributed to the various vendors who provide STS-compliant database software (CardioAccess, Lumedix, Medical Dynamics, etc.).
The STS Congenital Database now has over 55 institutions enrolled who are submitting their data annually with more being added regularly. Included are almost all of the major congenital cardiac centers as well as a number of mid-size and smaller programs, thus giving the database a broad range of program sizes and volumes. It is our goal with the CCAS database that an initial series of “beta” sites begin to utilize the anesthesia component to validate the data points and then roll out the opportunity to participate internationally to any program that also participates in the surgical database.
The initial cost of the STS CCAS collaborative is $55,000, which has been generously underwritten by the following institutions: Children’s Hospital of Boston, Children’s Hospital of Philadelphia, Texas Children’s Hospital, the Cleveland Clinic, Children’s Hospital of Los Angeles, Children’s Healthcare of Atlanta Sibley Heart Center, Duke University, Arnold Palmer Women and Children’s Hospital (Orlando, FL) and Miami Children’s Hospital. Once the programming is completed by the Duke Clinical Research Institute (the STS data warehouse) and released, programs will contact their database vendors to install the anesthesia module. Annual participation will cost $4500 per year per institution, though this may change depending upon the number of participating anesthesia sites. Other expenses may include the cost of the anesthesia module as well as any personnel time assigned to enter the data. In return, programs will receive a comprehensive report outlining their own site reports as well as a comparison to the national data. All reporting is confidential in order to avoid direct site-to-site comparisons. . Many institutions are financing these expenses through hospital QA/QI departments because of the important information the reports give back in this field.
Participation in the database is strongly encouraged by the CCAS for a variety of research and QI reasons, including facilitating multi-institutional studies, determining the incidence of anesthesia-related complications, and encouraging cross-specialty cooperation.
Please feel free to contact me directly for any questions related to the database, including the current set of data points we are planning on collecting.
David F. Vener, M.D.
Cleveland Clinic
Cleveland, OH
venerd@ccf.org.
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