Measure ID
FLUID-02-C
Description

Percentage of pediatric patients < 18 years old undergoing open cardiac surgery in which colloids were not administered intraoperatively.

Measure Type
Process
Available for Provider Feedback
No - Departmental Only
Threshold
Not applicable - Informational Only
Measure Time Period
Inclusions

Pediatric patients < 18 years old who undergo an open cardiac procedure (as determined by Procedure Type: Cardiac value code = 1)

Exclusions
  • Age ≥ 18 years of age
  • ASA 5 & 6 Organ Procurement (CPT: 01990)
  • Massive Transfusion or blood loss: Defined as volume of 40mL/kg
  • Patients that are in prone or Trendelenburg position for more than 4 hours
  • Patients with ascites (Concept ID: 10500)
Success Criteria

Colloids are not administered during the case

Other Measure Details

*This measure will include valid MPOG cases defined by the Is Valid Case phenotype.

Risk Adjustment

Not applicable

Provider Attribution

Provider(s) signed in at the time of colloid administration.

MPOG Concept Used

Colloids

  • 10018  Albumin 5%
  • 10458  Hetastarch
  • 10459  Pentastarch
  • 10601  Hydroxyethyl Starch 130/0.4 6% in 0.9% Saline (Voluven)
  • 10605  Hydroxyethyl Starch 6% in Lactated Ringers (Hextend)

Patient Position 

  • 50136  Positioning - Patient Position
  • 50137  Positioning - Patient positioned in left lateral decubitus position
  • 50818  Patient positioned in right lateral decubitus position

Blood Administration

  • 10489  Packed Red Blood Cells - Autologous
  • 10490  Packed Red Blood Cells - Homologous
  • 10616  Packed Red Blood Cells - Unknown Type

Patient Diagnosis

  • 10500  Ascites

Estimated Blood Loss (EBL) 

  • 10499  EBL
MPOG Phenotypes Used
References
  1. Bhardwaj N. Perioperative fluid therapy and intraoperative blood loss in children. Indian J Anaesth. 2019;63(9):729-736.
  2. Sümpelmann R, Kretz FJ, Luntzer R, et al. Hydroxyethyl starch 130/0.42/6:1 for perioperative plasma volume replacement in 1130 children: results of an European prospective multicenter observational postauthorization safety study (PASS). Paediatr Anaesth. 2012;22(4):371-378.
  3. Bailey AG, McNaull PP, Jooste E, Tuchman JB. Perioperative crystalloid and colloid fluid management in children: where are we and how did we get here? Anesth Analg. 2010;110(2):375-390.
  4. Riegger LQ, Voepel-Lewis T, Kulik TJ, et al. Albumin versus crystalloid prime solution for cardiopulmonary bypass in young children. Crit Care Med. 2002;30(12):2649-2654.
Measure Authors
 Measure Authors  Institution
 Meridith Wade MSN, RN  University of Michigan
 Brad Taicher, DO  Duke University
 Rob Coleman  University of Michigan
 MPOG Pediatric Subcommittee  
Measure Reviewer(s)
Next Review: 2025
 Date Reviewed  Reviewer  Institution  Summary  QC Vote
 TBD  TBD  TBD  TBD  TBD
Version
Published: 2022
 Date  Criteria  Revision
11/4/2022   Initial Publication