EARLY EXTUBATION FOLLOWING PEDIATRIC CARDIOTHORACIC OPERATION - VIABLE ALTERNATIVE
EARLY EXTUBATION FOLLOWING PEDIATRIC CARDIOTHORACIC OPERATION - VIABLE ALTERNATIVE
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DOI：
10.1016/s0003-4975(10)61872-3
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发表时间：
1980-01-01
影响因子：
4.6
通讯作者：
STANSEL, HC
中科院分区：
文献类型：
--
作者：
BARASH, PG;LESCOVICH, F;STANSEL, HC
一个协议，有利于早期拔管后，小儿心胸手术。连续性患者[197]按照本方案进行管理。50%的患者年龄小于3岁。113例（57%）外科手术需要心脏搭桥术。142例（72%）患者在手术后立即拔管。142例患者中有8例（6%）发生肺部并发症，55例需要术后机械通气的患者中有10例（18%）发生肺部并发症。在早期拔管的患者中，5例（4%）需要重新插管。该组1例死亡与肺功能无关。55例机械通气患者中有16例死亡。与常规术后机械通气相比，精心进行的早期拔管具有特定的优势。现代麻醉技术和先天性心脏病的外科修复可以减少术后机械通气的需求和相关并发症的可能性。
A protocol is presented that facilitates early extubation following pediatric cardiothoracic operations. Consecutive patients [197] were managed accordig to this protocol. Of the patients 50% were less than 3 yr old. Cardiopulmonary bypass was required in 113 (57%) of the surgical procedures. Extubation immediately following the surgical procedure was accomplished in 142 (72%) of the patients. Pulmonary complications occurred in 8 of these 142 patients (6%) and in 10 (18%) of the 55 patients requiring postoperative mechanical ventilation. Of the patients having early extubation, 5 (4%) required reintubation. One death in this group was unrelated to pulmonary function. There were 16 deaths among the 55 patients managed with mechanical ventilation. Carefully conducted early extubation provided specific advantages over routine postoperative mechanical ventilation. Modern techniques of anesthesia and surgical repair of congenital heart disease can decrease the requirement for postoperative mechanical ventilation and the potential for related complications.