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Heart, lung & circulation · Aug 2009
Predictors of successful early extubation following congenital cardiac surgery in neonates and infants.
- Peter D Winch, Lisa Nicholson, Janet Isaacs, Steven Spanos, Vincent Olshove, and Aymen Naguib.
- Nationwide Children's Hospital, Department of Anesthesiology, Columbus, OH 43205, USA. Peter.Winch@Nationwidechildrens.org
- Heart Lung Circ. 2009 Aug 1; 18 (4): 271-6.
BackgroundThere is a paucity of literature discussing the predictive likelihood of successfully extubating neonates and infants in the operating room immediately following congenital cardiac surgery. Given the unknown consequences of anaesthetics on neurodevelopmental outcomes, minimising the exposure of this population to such agents may have long-term benefits.MethodsRetrospective chart review of 391 patients less than 1 year of age.ResultsThe probability of successfully extubating these patients was based on quantifiable, objective criteria. The relevant variables include age, weight, bypass time, lactate level and specific congenital anomaly.ConclusionsThe practice of immediate extubation of infants and neonates is achievable, safe and predicted based on specific patient variables. This practice will minimise the anaesthetic exposure of these especially young patients who may be at risk for long-term consequences related to anaesthetic exposure.
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