PMID- 36734732
OWN - NLM
STAT- MEDLINE
DCOM- 20230207
LR  - 20230502
IS  - 2284-0729 (Electronic)
IS  - 1128-3602 (Linking)
VI  - 27
IP  - 2
DP  - 2023 Jan
TI  - Factors affecting extubating time of postoperative patients who underwent 
      congenital cardiac surgery: a randomized prospective study.
PG  - 763-772
LID - 31079 [pii]
LID - 10.26355/eurrev_202301_31079 [doi]
AB  - OBJECTIVE: Anesthesia management in pediatric cardiac surgery using health 
      resources sparingly focuses on reducing morbidity and mortality and increasing 
      patients' quality of life. The duration of postoperative mechanical ventilation 
      (MV) heavily influences pediatric cardiac surgery recovery. Thus, in this study 
      we aimed to determine factors influencing extubation times after pediatric 
      cardiac surgery. PATIENTS AND METHODS: A total of 72 pediatric patients with an 
      ASA score of III or above undergoing cardiac surgery were included in the study. 
      As a result of their extubation time, the patients were divided into three groups 
      as follows: those who were extubated immediately after surgery or in the 
      operating room (OR) were recorded as Immediate Extubators (IE); those who were 
      extubated within 6 to 48 hours of entering the intensive care unit were recorded 
      as Early Extubators (EE), and those who were extubated after 48 hours or not 
      extubated were recorded as Delayed Extubators (DE). RESULTS: A logistic 
      regression analysis showed that anomalies and need of MV before surgery, airway 
      difficulty, and prolonged cross-clamp (CC) time were observed as factors 
      affecting DE. The risk of DE was significantly correlated with the presence of 
      abnormality [Odds ratio (OR): 20.3, 95% Confident interval (CI): 2.8-142.7], with 
      the need of MV before surgery (OR: 1,844, 95% CI: 1.8-1,790,461.9), and with the 
      presence of airway difficulty (OR: 44.7, 95% CI: 4.4-445.0). In addition, it was 
      determined that CC time increased the probability of DE 1.038 times per minute 
      (95% CI: 1.004-1.072). CONCLUSIONS: Early and immediate extubation in children 
      who underwent congenital heart surgery was successfully performed in our clinic. 
      Early and immediate extubation in pediatric cardiac surgery can be completed 
      safely and successfully when suitable conditions are provided.
FAU - Onur, T
AU  - Onur T
AD  - Department of Anesthesiology and Reanimation, Department of Cardiovascular 
      Surgery, University of Health Sciences Bursa Yuksek Ihtisas Training and Research 
      Hospital, Bursa, Turkey. mesut_kvc_cor@hotmail.com.
FAU - Karaca, U
AU  - Karaca U
FAU - Onur, A
AU  - Onur A
FAU - Engin, M
AU  - Engin M
FAU - Demirel, A
AU  - Demirel A
FAU - Sayan, H E
AU  - Sayan HE
FAU - Ozgunay, S E
AU  - Ozgunay SE
FAU - Kilicarslan, N
AU  - Kilicarslan N
FAU - Secici, S
AU  - Secici S
FAU - Yirtimci, S
AU  - Yirtimci S
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - Italy
TA  - Eur Rev Med Pharmacol Sci
JT  - European review for medical and pharmacological sciences
JID - 9717360
SB  - IM
MH  - Humans
MH  - Child
MH  - Prospective Studies
MH  - Quality of Life
MH  - *Cardiac Surgical Procedures
MH  - *Heart Defects, Congenital/surgery
MH  - Intensive Care Units
MH  - Retrospective Studies
MH  - Length of Stay
EDAT- 2023/02/04 06:00
MHDA- 2023/02/08 06:00
CRDT- 2023/02/03 09:23
PHST- 2023/02/03 09:23 [entrez]
PHST- 2023/02/04 06:00 [pubmed]
PHST- 2023/02/08 06:00 [medline]
AID - 31079 [pii]
AID - 10.26355/eurrev_202301_31079 [doi]
PST - ppublish
SO  - Eur Rev Med Pharmacol Sci. 2023 Jan;27(2):763-772. doi: 
      10.26355/eurrev_202301_31079.