Early extubation of the trachea after open heart surgery for congenital heart disease. A review of 3 years' experience
The results of early extubation after open heart surgery for congenital heart disease in 209 consecutive patients have been reviewed. No patient younger than 3 months of age, 52% of those between 3 and 12 months, and 88% of those older than 12 months had the tracheal tube removed in the operating th...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 1984-10, Vol.56 (10), p.1101-1108 |
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| container_end_page | 1108 |
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| container_issue | 10 |
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| container_title | British journal of anaesthesia : BJA |
| container_volume | 56 |
| creator | SCHULLER, J. L BOVILL, J. G NIJVELD, A PATRICK, M. R MARCELLETTI, C |
| description | The results of early extubation after open heart surgery for congenital heart disease in 209 consecutive patients have been reviewed. No patient younger than 3 months of age, 52% of those between 3 and 12 months, and 88% of those older than 12 months had the tracheal tube removed in the operating theatre. Four patients required reintubation of the trachea, three because of respiratory difficulty and one because of cerebral oedema. There were two deaths in the extubated group. Twelve patients had PaO2 values less than 8.0 kPa after operation, despite adequate oxygen therapy. In four of these, this was related to persistent intracardiac shunting. It is concluded that early extubation after open heart surgery for congenital heart disease has minimal risk in carefully selected patients. |
| doi_str_mv | 10.1093/bja/56.10.1101 |
| format | Article |
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Twelve patients had PaO2 values less than 8.0 kPa after operation, despite adequate oxygen therapy. In four of these, this was related to persistent intracardiac shunting. It is concluded that early extubation after open heart surgery for congenital heart disease has minimal risk in carefully selected patients.</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/56.10.1101</identifier><identifier>PMID: 6433948</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Carbon Dioxide - blood ; Cardiac Surgical Procedures ; Cardiopulmonary Bypass ; Child ; Child, Preschool ; Female ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Infant, Newborn ; Intubation, Intratracheal ; Male ; Medical sciences ; Oxygen - blood ; Oxygen Inhalation Therapy ; Postoperative Period ; Respiration, Artificial ; Retrospective Studies ; Thoracic and cardiovascular surgery. 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R</creatorcontrib><creatorcontrib>MARCELLETTI, C</creatorcontrib><title>Early extubation of the trachea after open heart surgery for congenital heart disease. A review of 3 years' experience</title><title>British journal of anaesthesia : BJA</title><addtitle>Br J Anaesth</addtitle><description>The results of early extubation after open heart surgery for congenital heart disease in 209 consecutive patients have been reviewed. No patient younger than 3 months of age, 52% of those between 3 and 12 months, and 88% of those older than 12 months had the tracheal tube removed in the operating theatre. Four patients required reintubation of the trachea, three because of respiratory difficulty and one because of cerebral oedema. There were two deaths in the extubated group. Twelve patients had PaO2 values less than 8.0 kPa after operation, despite adequate oxygen therapy. In four of these, this was related to persistent intracardiac shunting. It is concluded that early extubation after open heart surgery for congenital heart disease has minimal risk in carefully selected patients.</description><subject>Adolescent</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Carbon Dioxide - blood</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiopulmonary Bypass</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intubation, Intratracheal</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Oxygen - blood</subject><subject>Oxygen Inhalation Therapy</subject><subject>Postoperative Period</subject><subject>Respiration, Artificial</subject><subject>Retrospective Studies</subject><subject>Thoracic and cardiovascular surgery. 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Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Carbon Dioxide - blood</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiopulmonary Bypass</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intubation, Intratracheal</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Oxygen - blood</topic><topic>Oxygen Inhalation Therapy</topic><topic>Postoperative Period</topic><topic>Respiration, Artificial</topic><topic>Retrospective Studies</topic><topic>Thoracic and cardiovascular surgery. Cardiopulmonary bypass</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SCHULLER, J. L</creatorcontrib><creatorcontrib>BOVILL, J. G</creatorcontrib><creatorcontrib>NIJVELD, A</creatorcontrib><creatorcontrib>PATRICK, M. 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A review of 3 years' experience</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><addtitle>Br J Anaesth</addtitle><date>1984-10</date><risdate>1984</risdate><volume>56</volume><issue>10</issue><spage>1101</spage><epage>1108</epage><pages>1101-1108</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>The results of early extubation after open heart surgery for congenital heart disease in 209 consecutive patients have been reviewed. No patient younger than 3 months of age, 52% of those between 3 and 12 months, and 88% of those older than 12 months had the tracheal tube removed in the operating theatre. Four patients required reintubation of the trachea, three because of respiratory difficulty and one because of cerebral oedema. There were two deaths in the extubated group. Twelve patients had PaO2 values less than 8.0 kPa after operation, despite adequate oxygen therapy. In four of these, this was related to persistent intracardiac shunting. It is concluded that early extubation after open heart surgery for congenital heart disease has minimal risk in carefully selected patients.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>6433948</pmid><doi>10.1093/bja/56.10.1101</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of anaesthesia : BJA, 1984-10, Vol.56 (10), p.1101-1108 |
| issn | 0007-0912 1471-6771 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Oxford University Press Journals Digital Archive Legacy |
| subjects | Adolescent Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Carbon Dioxide - blood Cardiac Surgical Procedures Cardiopulmonary Bypass Child Child, Preschool Female Heart Defects, Congenital - surgery Humans Infant Infant, Newborn Intubation, Intratracheal Male Medical sciences Oxygen - blood Oxygen Inhalation Therapy Postoperative Period Respiration, Artificial Retrospective Studies Thoracic and cardiovascular surgery. Cardiopulmonary bypass Time Factors |
| title | Early extubation of the trachea after open heart surgery for congenital heart disease. A review of 3 years' experience |
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