Extubation Times in Postoperative Congenital Cardiovascular Surgeries

Bursa Yüksek İhtisas Education and Research Hospital

Status: Completed

Conditions: Congenital Heart Disease

Treatments: Procedure: Congenital Cardiovascular Surgery

Study type: Observational

Funder types: Other

Identifiers

NCT05332860

Bursa Education Hospital

Details and patient eligibility

About

Background: Anesthesia management in pediatric cardiac surgeries focuses on reducing morbidity and mortality, early mobilization and discharge, using health resources sparingly and increasing the quality of life of patients. The duration of postoperative mechanical ventilation is one of the most important factors affecting the process after pediatric cardiac surgery. Besides the view that postoperative mechanical ventilation is safe, there are opposing views that it causes an increase in complications; It caused disagreements about extubation times. In our study, we aimed to investigate the factors affecting extubation times after pediatric cardiac surgery.

Methods: 72 ASA≥III pediatric patients undergoing cardiac surgery with cardiopulmonary bypass were included in our study. The patients were divided into 3 groups according to their extubation time. Those that were extubated in the operating room (OR) or in 6 hours after surgery (Immediate Extubation or IE), those that were extubated within 6-48 hours of admission to the ICU (Early Extubation or EE) and those that were extubated sometime after 48 hours or not extubated (Delayed Extubation or DE). Many variables of preoperative, peroperative and postoperative periods were recorded to see which factors correlated with extubation times.

Full description

Children with critical congenital heart disease may need surgical or interventional procedures at some point in their lives.In pediatric cardiac anesthesia, it is important to reduce the need for postoperative mechanical ventilation in order to minimize morbidity, provide optimal vital functions, and reduce unnecessary use of health resources. Researchers aimed to examine the relationships of perioperative and postoperative hemodynamics, laboratory, oxygenation parameters and demographic data with extubation times in pediatric cardiac surgery cases taken in the hospital.

Enrollment: 72 patients

Sex: All

Ages: 1 day to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• elective or emergency patients
• aged 0-18 who are scheduled for congenital heart surgery

Exclusion criteria

-in patients who died during the operation

Trial design

72 participants in 3 patient groups

Immediate Extubation or IE

Description:

patients were extubated in the operating room (OR) or in 6 hours after surgery

Treatment:

Procedure: Congenital Cardiovascular Surgery

Early Extubation or EE

Description:

patients were extubated within 6-48 hours of admission to the ICU

Treatment:

Procedure: Congenital Cardiovascular Surgery

Delayed Extubation or DE

Description:

patients were extubated sometime after 48 hours or not extubated

Treatment:

Procedure: Congenital Cardiovascular Surgery