Document Detail


Early extubation after surgical repair of tetralogy of Fallot.
MedLine Citation:
PMID:  11117398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In recent years, post-operative intensive care of the child with congenital cardiac disease has placed an emphasis on earlier weaning from mechanical ventilation. We describe our experience of postoperative fast-tracking of children undergoing cardiac surgery during a charitable mission in Venezuela, where resources and equipment were severely limited. During our stay, 11 children, with a median age of 2 years, underwent total correction of tetralogy of Fallot. The median duration of ventilation was 2.5 hours, and all patients were extubated within 12 hours of surgery. Effective analgesia was achieved without the need for continuous intravenous infusions of opiates. This experience shows that early extubation can safely be carried out in well-selected patients after surgery to correct congenital cardiac malformations. This allows faster throughput of patients, and helps provide an efficient and cost-effective service.
Authors:
L S Shekerdemian; D J Penny; W Novick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology in the young     Volume:  10     ISSN:  1047-9511     ISO Abbreviation:  Cardiol Young     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-14     Completed Date:  2000-12-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  636-7     Citation Subset:  IM    
Affiliation:
International Children's Heart Foundation, University Hospital, Maracaibo, Venezuela. lara.shekerdemian@gosh-tr.nthames.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Female
Humans
Infant
Intensive Care Units, Pediatric*
Male
Tetralogy of Fallot / physiopathology,  surgery*
Ventilator Weaning*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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