{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:51:14Z","timestamp":1791273074274,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Due to advancements in medicine and technology, there is a growing population of children with chronic respiratory failure that requires long\u2010term mechanical ventilation (LTV). These patients commonly have a high degree of medical complexity and often require surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study seeks to describe the perioperative characteristics, surgical interventions, and postoperative outcomes for pediatric patients with long\u2010term ventilation (LTV)\u2010dependence via tracheostomy undergoing elective non\u2010cardiac surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort analysis was performed using the Pediatric National Surgical Quality Improvement Program (NSQIP) database from 2019 to 2023. Pediatric patients with LTV undergoing elective non\u2010cardiac surgeries were identified. Demographic data, medical comorbidities, surgical characteristics, and postoperative outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 1291 pediatric patients with home tracheostomy and ventilation requirements undergoing elective non\u2010cardiac surgery. There were no reported intraoperative cardiac arrests or unplanned loss of secure airway amongst all patients for the years this data was available (2019\u20132023). There were major postoperative adverse events in five patients (0.4%) who experienced cardiac arrest requiring CPR and three patients (0.2%) who experienced 30\u2010day mortality. There was an overall rate of 12% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009153) for 30\u2010day readmission, of which 81% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009124) were unplanned.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although children dependent on LTV have high medical complexity, serious postoperative adverse events are rare following elective surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pan.70324","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:59:45Z","timestamp":1791269985000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative Characteristics and Outcomes of Home\u2010Ventilated Children Undergoing Non\u2010Cardiac Surgery in the Pediatric\n                    <scp>NSQIP<\/scp>\n                    Database"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4868-4259","authenticated-orcid":false,"given":"Jia","family":"Liu","sequence":"first","affiliation":[{"name":"Divisions of Anesthesiology, Pain and Perioperative Medicine, and Critical Care Medicine Children's National Hospital, George Washington Unversity  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0192-7361","authenticated-orcid":false,"given":"Amber C.","family":"Bausley","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8659-6313","authenticated-orcid":false,"given":"Robert J.","family":"Graham","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care, and Pain Medicine Boston Children's Hospital, Harvard University  Boston Massachusetts 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