| Autor: |
Leonardo Augusto Miana, Luiz Fernando Canêo, Carla Tanamati, Juliano Gomes Penha, Vanessa Alves Guimarães, Nana Miura, Filomena Regina Barbosa Gomes Galas, Marcelo Biscegli Jatene |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Brazilian Journal of Cardiovascular Surgery, Vol 30, Iss 4, Pp 409-416 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
1678-9741 |
| DOI: |
10.5935/1678-9741.20150053 |
| Popis: |
Abstract 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: |
Directory of Open Access Journals |
| Externí odkaz: |
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