Should early extubation be the goal for children after congenital cardiac surgery?
Should early extubation be the goal for children after congenital cardiac surgery?
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DOI：
10.1016/j.jtcvs.2014.06.093
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发表时间：
2014-12-01
影响因子：
6
通讯作者：
Gandhi, Sanjiv K.
中科院分区：
文献类型：
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作者：
Harris, Kevin C.;Holowachuk, Spencer;Gandhi, Sanjiv K.
目的：我们试图确定的可行性和评估的临床结果与早期拔管策略的所有儿童接受先天性心脏病手术，包括新生儿（年龄，< 30天）。方法：我们进行了一个链接的数据库分析所有患者接受先天性心脏病手术，从2010年7月1日至2012年12月31日。我们收集了心脏诊断、术前状态、手术和术后病程的数据，包括有创和无创通气的持续时间、拔管失败、血流动力学数据、住院时间、并发症和死亡率。采用多变量模型评估与手术室内无法拔管和延迟拔管（> 24小时）相关的独立因素。结果：我们对613名儿童进行了手术，其中包括97名新生儿。71%的病例术中拔管，早期拔管（
Objective: We sought to determine the feasibility and assess the clinical outcomes associated with an early extubation strategy for all children undergoing congenital heart surgery, including neonates (age,< 30 days).Methods: We performed a linked database analysis of all patients undergoing congenital heart surgery from July 1, 2010 to December 31, 2012. We collected data on the cardiac diagnoses, preoperative status, procedure, and postoperative course, including the duration of invasive and noninvasive ventilation, failure of extubation, hemodynamic data, length of stay, complications, and mortality. A multivariable model was used to assess the independent factors associated with an inability to extubate within the operating room and with delayed extubation (> 24 hours).Results: We operated on 613 children, including 97 neonates. Intraoperative extubation was achieved in 71% of the cases and early extubation (