Intraoperative and postoperative risk factors for prolonged mechanical ventilation after pediatric cardiac surgery

Paediatric Anaesthesia

Volumn 16, Issue 11, 2006, Pages 1166-1175

  Székely, Andrea ^a,b   Sápi, Erzsébet ^a   Király, László ^a   Szatmári, András ^a   Dinya, Elek ^a  

^a EGIS PHARMACEUTICALS LTD   (Hungary)

^b NONE   (Hungary)

Author keywords

Congenital heart disease; Extubation; Mechanical ventilation; Pediatric cardiac surgery; Pediatrics; Predictors

Indexed keywords

NITRIC OXIDE; UREA;

ARTERIAL OXYGEN TENSION; ARTICLE; ARTIFICIAL VENTILATION; BLOOD TRANSFUSION; BRONCHOMALACIA; CARDIOPULMONARY BYPASS; CONGENITAL HEART DISEASE; FLUID INTAKE; FORWARD HEART FAILURE; HEART SURGERY; HUMAN; INFANT; INTENSIVE CARE UNIT; INTRAOPERATIVE PERIOD; LUNG DISEASE; MAJOR CLINICAL STUDY; NEUROLOGIC DISEASE; NEWBORN; OPERATION DURATION; PEDIATRIC SURGERY; PERITONEAL DIALYSIS; POSTOPERATIVE PERIOD; PRESCHOOL CHILD; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULMONARY HYPERTENSION; REOPERATION; RISK ASSESSMENT; STERNUM; TRACHEOBRONCHOMALACIA; TRACHEOMALACIA; UREA NITROGEN BLOOD LEVEL;

CARDIAC SURGICAL PROCEDURES; CHILD; CHILD, PRESCHOOL; FORECASTING; HEART DEFECTS, CONGENITAL; HUMANS; INFANT; INFANT, NEWBORN; INTRAOPERATIVE PERIOD; OXYGEN; POSTOPERATIVE PERIOD; PROSPECTIVE STUDIES; REGRESSION ANALYSIS; RESPIRATION, ARTIFICIAL; RISK FACTORS; TIME FACTORS; TREATMENT OUTCOME; VENTILATOR WEANING; VENTILATORS, MECHANICAL;

EID: 33750069416     PISSN: 11555645     EISSN: 14609592     Source Type: Journal    
DOI: 10.1111/j.1460-9592.2006.01957.x     Document Type: Article

References (23)

1. Harrison AM, Cox AC, Davis S et al. Failed extubation after cardiac surgery in young children: prevalence, pathogenesis, and risk factors. Pediatr Crit Care Med 2002; 3: 148-152.
2. Epstein SK, Ciobotaru SL. Independent effects of etiology of failure and time to reintubation on outcome for patients failing extubation. Am J Respir Crit Care Med 1998; 158: 489-493.
3. Ip P, Chiu CS, Cheung YF. Risk factors prolonging ventilation in young children after cardiac surgery: impact of noninfectious pulmonary complications. Pediatr Crit Care Med 2002; 3: 269-274.
4. Laussen PC, Roth SJ. Fast tracking: efficiently and safely moving patients through the intensive care unit. Prog Pediatr Cardiol 2003; 18: 149-158.
5. Canver CC, Jyotirmay C. Intraoperative and postoperative risk factors for respiratory failure after coronary bypass. Ann Thorac Surg 2003; 75: 853-857.
6. Kloth R, Baum V. Very early extubation in children after cardiac surgery? Crit Care Med 2002; 30: 787-791.
7. Vricells LA, Dearani JA, Grundy SR et al. Ultra-fast track in elective congenital heart surgery. Ann Thorac Surg 2000; 69: 865-871.
8. Wernovsky G, Wypij D, Jonas RA et al. Postoperative course and hemodynamic profile after the arterial switch operation in neonates and infants. A comparison of low-flow cardiopulmonary bypass and circulatory arrest. Circulation 1995; 92: 2226-2235.
9. Jenkins KJ. Variability in outcomes of congenital heart surgery. Prog Pediatr Cardiol 2003; 18: 27-32.
10. Heinle JS, Diaz LK, Fox LS. Early extubation after cardiac operations in neonates and young children. J Thorac Cardiovasc Surg 1997; 114: 413-418.
11. Gamilscheg A, Zobel G, Urlesberger J et al. Inhaled nitric oxide with critical pulmonary perfusion after Fontan type procedures and bidirectional Glenn anastomosis. J Thorac Cardiovasc Surg 1997; 113: 435-442.
12. Wan S, LeClerc J, Vincent J. Inflammatory response to cardiopulmonary bypass. Chest 1997; 112: 676-692.
13. Anand KJ, Hickey PR. Halothane-morphine compared with high dose sufentanil for anesthesia and postoperative analgesia in neonatal cardiac surgery. N Engl J Med 1992; 326: 1-9.
14. Duke T, Butt W, South M et al. Early markers of major adverse events in children after cardiac operations. J Thorac Cardiovasc Surg 1997; 114: 1042-1052.
15. Brown K, Ridout DA, Goldman A et al. Risk factors for long intensive care unit stay after cardiopulmonary bypass in children. Crit Care Med 2003; 31: 28-33.
16. Wiliams GD, Bratton SL, Ramamoorthy C. Factors associated with blood loss and blood product transfusions: a multivariate analysis in children after open-heart surgery. Anesth Analg 1999; 89: 57-64.
17. Fransen E, Maessen J, Dentener M et al. Impact of blood transfusions on inflammatory mediator release in patients undergoing cardiac surgery. Chest 1999; 116: 1233-1239.
18. Kwiatkowski JL, Manno CS. Blood transfusion support in pediatric cardiovascular surgery. Transfus Sci 1999; 21: 63-72.
19. Mollhoff T, Van Aken H, Mulier JP et al. Effects of urapidil, ketanserin and sodium nitroprusside on venous admixture and arterial oxygenation following coronary artery bypass grafting. Br J Anaesth 1990; 64: 493-497.
20. Gale GD, Teasdale SJ, Sanders DE et al. Pulmonary atelectasis and other respiratory complications after cardiopulmonary bypass and investigation of aetiological factors. Can Anaesth Soc J 1997; 26: 15-21.
21. Bandla HP, Hopkins RL, Beckerman RC et al. Pulmonary risk factors compromising postoperative recovery after surgical repair for congenital heart disease. Chest 1999; 116: 740-747.
22. Lindberg L, Olsson AK, Jögl P et al. How common is severe pulmonary hypertension after pediatric cardiac surgery? J Thor Cardiovasc Surg 2002; 123: 1155-1163.
23. Beghetti M, Morris K, Cox P et al. Inhaled nitric oxide differentiates pulmonary vasospasm from vascular obstruction after surgery for congenital heart disease in children. Intensive Care Med 1999; 25: 1126-1130.