ECMO pós-cardiotomia em cirurgia cardíaca pediátrica e congênita: impacto do treinamento da equipe e equipamentos nos resultados
| Autor: | Miana, Leonardo Augusto, Canêo, Luiz Fernando, Tanamati, Carla, Penha, Juliano Gomes, Guimarães, Vanessa Alves, Miura, Nana, Galas, Filomena Regina Barbosa Gomes, Jatene, Marcelo Biscegli |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Heart Defects
Congenital Male lcsh:Diseases of the circulatory (Cardiovascular) system Evaluation of Results of Preventive Actions Education Continuing Transposition of Great Vessels lcsh:Surgery Procedimentos Cirúrgicos Cardiovasculares Health Human Resource Training Membrana de Oxigenação Extracorpórea Extracorporeal Membrane Oxygenation Avaliação de Resultado de Ações Preventivas Humans Retrospective Studies Cardiovascular Surgical Procedures Infant Newborn Editorials Infant Original Articles lcsh:RD1-811 Patient Discharge Survival Rate Logistic Models Treatment Outcome Capacitação de Recursos Humanos em Saúde Cardiopatias Congênitas lcsh:RC666-701 Female Program Evaluation |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery, Vol 30, Iss 4, Pp 409-416 (2015) Revista Brasileira de Cirurgia Cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular Brazilian Journal of Cardiovascular Surgery v.30 n.4 2015 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Brazilian Journal of Cardiovascular Surgery, Volume: 30, Issue: 4, Pages: 409-416, Published: AUG 2015 |
| ISSN: | 1678-9741 |
| Popis: | Introduction: Post-cardiotomy myocardial dysfunction requiring mechanical circulatory support occurs in about 0.5% of cases. In our environment, the use of extracorporeal membrane oxygenation has been increasing in recent years. Objective: To evaluate the impact of investment in professional training and improvement of equipment in the rate of weaning from extracorporeal membrane oxygenation and survival. Methods: A retrospective study. Fifty-six pediatric and/or congenital heart patients underwent post-cardiotomy extracorporeal membrane oxygenation at our institution between November 1999 and July 2014. We divided this period into two phases: phase I, 36 cases (before the structuring of the extracorporeal membrane oxygenation program) and phase II, 20 cases (after the extracorporeal membrane oxygenation program implementation) with investment in training and equipment). Were considered as primary outcomes: extracorporeal membrane oxygenation weaning and survival to hospital discharge. The results in both phases were compared using Chi-square test. To identify the impact of the different variables we used binary logistic regression analysis. Results: Groups were comparable. In phase I, 9 patients (25%) were weaned from extracorporeal membrane oxygenation, but only 2 (5.5%) were discharged. In phase II, extracorporeal membrane oxygenation was used in 20 patients, weaning was possible in 17 (85%), with 9 (45%) hospital discharges (P |
| Databáze: | OpenAIRE |
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