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International webinar on Critical Congenital Heart Disease concludes at PGIMER

More than 150 delegates from all over the world including USA, UK and middle-east attended the webinar.

PGIMER Cardiac Anesthesia Proving As Boon For Tiny Heart. 50 newborn babies with congenital heart diseases are operated on per year and taken care of by the pediatric cardiac team of Advanced Cardiac Centre. Since the inception of the Advanced Cardiac Centre in 2009, the number of cardiac surgeries has increased manifold from 300 surgeries per year to 1500 surgeries per year. Paediatric cardiac surgery which formed only 20% of the cardiac surgeries performed has increased to 50% of total cardiac surgeries performed.

These all credentials are shared in an international webinar on Critical Congenital Heart Disease – Perioperative Management organised by the Cardiac Anaesthesia division of the Department of Anaesthesia and Intensive Care organized in collaboration with Texas Children Hospital, Houston, United States of America concluded here at PGIMER.

More than 150 delegates from all over the world including the USA, UK, and middle-east attended the webinar. Renowned cardiologists and pediatric cardiac intensivists from abroad and different hospitals of the country presented their topics and shared their valuable experiences in the meeting.

Dr. Tam Doan, Pediatric Cardiologist discussed the critical considerations for perioperative management of children with double outlet right ventricle.

Dr. Patricia Bastero, Pediatric Intensivist and ECMO specialist described the use of ECMO in children undergoing complex congenital heart disease.

Dr. Heather Dickerson another Pediatric Intensivist from Houston explained about the critical issues while managing small children with Shone’s complex and under-developed left sided heart.

Dr. Nirica Borges, Pediatric Intensivist described airway anomalies in children with congenital heart diseases.

Apart from the above foreign delegates, faculty from PGI also participated and shared their experience and the outcome of pediatric cardiac surgery patients. Dr. Ganesh Kumar M., Pediatric Cardiac Anesthesiologist Intensivist from this Division gave a lecture on “Palliative shunts – What an intensivist should know?”

Dr. K.P. Gaurav, Pediatric Cardiac Anesthesiologist, and Intensivist presented the data of pediatric cardiac surgeries of the last five years at the meeting.

Prof. Bhupesh Kumar and Prof. Anand Mishra from PGIMER, Prof. Neeti Makhija and Prof. Minati Choudhury from AIIMS, Delhi, and Prof. K.P. Unnikrishnan from SCTIMST, Trivandrum also chaired the sessions and participated in the discussion for the teaching of the residents regarding the management of small children during and after surgery.

Prof. G.D. Puri, Head, Department of Anaesthesia & Intensive Care and Chairman, Advanced Cardiac Centre gave an overview of pediatric cardiac surgery and intensive care set up in Advanced Cardiac Centre.

The Division of cardiac anaesthesia is involved in not only providing intraoperative care for sick children coming for complex congenital heart disease surgeries but also looking after these children before and after surgery till they recover. It also provides anaesthesia and monitored anaesthesia care for cardiac interventions in small children like devices closure for heart defects. It is also running a paediatric cardiac anaesthesia fellowship programme for specialized training in taking care of small congenital heart disease patients perioperatively and intensive care. More than 300 children of less than one year and more than 50 newborn babies with congenital heart diseases are operated on per year and taken care of by the paediatric cardiac team of ACC.

Over the years not only the number of cardiac surgeries have increased but also the outcome of these surgeries have improved. Mortality in this group of children has decreased to 5% which is comparable to the best of the centres in the country and the world. The cardiac anesthesia division also runs perioperative echocardiography services for these small children both intraoperatively as well as post-operatively for management of these children. Perioperative echocardiography is used to guide the surgeons as well as intensivists to modify the surgical techniques as well as drug and ventilator therapy for better outcomes for these small children.

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