Extubation after cardiothoracic surgery in neonates, children, and young adults: One year of institutional experience
- 1 November 2007
- journal article
- Published by Wolters Kluwer Health in Pediatric Critical Care Medicine
- Vol. 8 (6), 552-555
- https://doi.org/10.1097/01.pcc.0000282174.37595.4c
Abstract
OBJECTIVE:: Describe risk factors associated with successful and early extubation in the pediatric cardiac intensive care unit. DESIGN:: Retrospective chart review. SETTING:: University hospital, cardiac intensive care unit. MEASUREMENTS AND MAIN RESULTS:: Review of 212 consecutive surgical admissions from January 2003 to January 2004, excluding deaths. Preoperative, intraoperative, and postoperative variables were studied. Successful extubation was defined as no reintubation at any time during the cardiac intensive care unit course and early extubation was defined as mechanical ventilation 24 hrs after surgery. A history of prematurity (odds ratio [OR], 5.84, 2.29-14.9; p < .001), base excess (OR, 1.47, 1.27-1.70; p < .001), cardiopulmonary bypass time (OR, 1.01, 1.01 to -1.2; p < .05), and the need for surgical reintervention (OR, 18.29, 2.78 to -120.07; p < .05) were associated with intubation for >24 hrs. CONCLUSION:: Extubation without the need for reintubation can be achieved in nearly all children following cardiothoracic surgery. The majority of successful extubations can be achieved within 24 hrs of surgery.Keywords
This publication has 8 references indexed in Scilit:
- Extubation failure in pediatric intensive care incidence and outcomesPediatric Critical Care Medicine, 2005
- Factors associated with early extubation after cardiac surgery in young childrenPediatric Critical Care Medicine, 2004
- Extubation failure in pediatric intensive care: A multiple-center study of risk factors and outcomesCritical Care Medicine, 2003
- Effect of Mechanical Ventilator Weaning Protocols on Respiratory Outcomes in Infants and ChildrenA Randomized Controlled TrialJAMA, 2002
- Failed extubation after cardiac surgery in young children: Prevalence, pathogenesis, and risk factors*Pediatric Critical Care Medicine, 2002
- Consensus-based method for risk adjustment for surgery for congenital heart diseaseThe Journal of Thoracic and Cardiovascular Surgery, 2002
- Predictors of Successful Extubation in ChildrenAmerican Journal of Respiratory and Critical Care Medicine, 1999
- Pulmonary Risk Factors Compromising Postoperative Recovery After Surgical Repair for Congenital Heart DiseaseChest, 1999