Prevalence, Risk Factors, and Etiology of Extubation Failure in Pediatric Patients After Cardiac Surgery

Autor:	Asaad G. Beshish, Michael P. Fundora, Elizabeth Aronoff, Nikita Rao, Michael S. Kelleman, Fawwaz R. Shaw, Kevin O. Maher, Michael Wolf
Rok vydání:	2022
Předmět:	Pediatrics Perinatology and Child Health Critical Care and Intensive Care Medicine
Zdroj:	Journal of Pediatric Intensive Care.
ISSN:	2146-4626 2146-4618
Popis:	In this article, our primary objective was to investigate the prevalence and etiology of extubation failure (EF) in patients following cardiac surgery for congenital heart disease. Secondarily, we examined the association of different risk factors with EF. This was single-center retrospective study in a 27-bed cardiac intensive care unit at a quaternary children's hospital. All patients between 0 and 18 years of age who underwent congenital cardiac surgery from January 2008 to September 2019 were included. During the study period, among 8,750 surgical encounters, 257 (2.9%) failed extubation, defined as reintubation within 48 hours from extubation. EF patients were younger, smaller, more likely to have genetic syndromes, higher Society of Thoracic Surgeons and the European Association for Cardio-Thoracic Surgery (STAT) mortality scores, single-ventricle physiology, longer cardiopulmonary bypass (CPB) and cross-clamp (XC) times, longer mechanical ventilation (MV) duration, and higher mortality (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b01fd210684f934ed6a95219aa9f3d90 https://doi.org/10.1055/s-0041-1742253 Zobrazit plný text záznamu