Document Detail


Evaluation of risk factors for postoperative prolonged intubation in premature infants after cryotherapy for retinopathy of prematurity.
MedLine Citation:
PMID:  20643363     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Premature infants are more prone to cardiorespiratory complications after surgery than term infants. Risk factors for postoperative apnea include post-conception age, gestational age, postnatal age, birth weight, history of respiratory distress syndrome, bronchopulmonary dysplasia, anemia, necrotizing enterocolitis, use of opioids or nondepolarizing muscle relaxants, aminophylline use, history of apnea, body weight at operation, and pre-existing disease. The aim of this study was to identify the most important factors associated with postoperative extubation and respiratory outcomes among premature infants undergoing cryotherapy for retinopathy of prematurity (ROP). METHODS: We retrospectively analyzed the clinical records of 62 premature infants, with mean +/- standard deviation gestational age of 26.4 +/- 2.3 weeks, birth weight of 914.8 +/- 208.5 g, postconception age of 37.0 +/- 2.8 weeks, and body weight at the time of operation of 1970.0 +/- 446.8 g, who underwent cryotherapy for ROP. RESULTS: Only 17 infants were successfully extubated within 2 hours after operation. The most predictive factor for successful or unsuccessful extubation was body weight at the time of operation. CONCLUSION: Body weight at the time of operation was the most important factor associated with postoperative ventilatory support among premature infants under-going cryotherapy for ROP.
Authors:
Tsung-Hsiao Shih; Siu-Wah Chau; Chien-Cheng Liu; Hung-Shu Chen; His-Kung Kuo; Sheng-Chun Yang; Wen-Ying Chou
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  48     ISSN:  1875-452X     ISO Abbreviation:  Acta Anaesthesiol Taiwan     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-20     Completed Date:  2010-10-29     Revised Date:  2010-11-16    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  62-7     Citation Subset:  IM    
Copyright Information:
2010 Taiwan Society of Anesthesiologists. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Taiwan, R.O.C.
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MeSH Terms
Descriptor/Qualifier:
Body Weight
Cryotherapy*
Female
Functional Residual Capacity
Gestational Age
Humans
Infant, Newborn
Infant, Premature
Intubation, Intratracheal*
Male
Postoperative Complications / therapy*
Retinopathy of Prematurity / surgery*
Retrospective Studies
Risk Factors
Comments/Corrections
Erratum In:
Acta Anaesthesiol Taiwan. 2010 Sep;48(3):160

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


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