Buscar en
Enfermería Intensiva (English Edition)
Toda la web
Inicio Enfermería Intensiva (English Edition) Factors associated with early extubation of patients after corrective tetralogy ...
Journal Information
Vol. 30. Issue 4.
Pages 154-162 (October - December 2019)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 30. Issue 4.
Pages 154-162 (October - December 2019)
Original article
DOI: 10.1016/j.enfie.2018.08.003
Factors associated with early extubation of patients after corrective tetralogy of Fallot
Factores asociados a la extubación temprana en pacientes con cirugía correctora de tetralogía de Fallot
Visits
...
H. Chaparroa, R.A. Abeldaño-Zuñigab,
Corresponding author
ariabeldanho@gmail.com

Corresponding author.
a Hospital de Pediatría SAMIC, Juan P. Garrahan, Buenos Aires, Argentina
b División de Estudios de Posgrado, Universidad de la Sierra Sur, Oaxaca, Mexico
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Tables (6)
Table 1. Factors impacting the decision for early extubation after paediatric heart surgery.
Table 2. Operational function of study variables.
Table 3. General characteristics of patients undergoing corrective tetralogy of Fallot surgery.
Table 4. Frequency of surgical procedures performed on patients submitted to corrective tetralogy of Fallot surgery.
Table 5. Means and standard deviations of variables of intrasurgical management in patients who have undergone corrective tetralogy of Fallot surgery.
Table 6. Means and standard deviations of length of stay in the ICU and total stay in the hospital of patients who underwent corrective tetralogy of Fallot surgery.
Show moreShow less
Abstract
Objective

To assess surgical management and postoperative results associated with early extubation in patients undergoing tetralogy of Fallot corrective surgery at a public hospital in Argentina.

Methods

A retrospective review was made from clinical records from patients who underwent corrective surgery for tetralogy of Fallot. A total of 38 clinical records that met the inclusion criteria for the retrospective review were included in the analysis.

Results

16% were extubated early. Milrinone was the only drug that showed differences in patients who were extubated early (p=0.01). Extracorporeal circulation time, aortic clamping time, transfusion with cryoprecipitates, saturation of oxygen pressure, and haematocrit at the end of the surgical procedure showed no differences (p>.05). In the postoperative period, the ICU stay was shorter for the patients who were extubated early (p=0.0007), but there were no differences in the total hospital stay (p=0.26).

Conclusions

Early extubation in the institution, although found to be low frequency, has proved as a safe and effective alternative to shorten these patients’ stay in ICU.

Keywords:
Operating rooms
Surgery department hospital
Anaesthesia
Anaesthesia department hospital
Tetralogy of Fallot
Congenital heart defects
Resumen
Objetivo

Analizar el manejo intraquirúrgico y los resultados posquirúrgicos asociados a la extubación temprana en los pacientes sometidos a cirugía reparadora de tetralogía de Fallot en un hospital público argentino.

Métodos

Se realizó una revisión retrospectiva de los expedientes clínicos de los pacientes a quienes se les practicó cirugía para corrección de tetralogía de Fallot. Se incluyeron en el análisis un total de 38 expedientes que cumplieron con los criterios de inclusión establecidos en el protocolo para la revisión retrospectiva.

Resultados

El 16% fue extubado de manera temprana. Milrinona fue la única droga que mostró diferencias en los pacientes a quienes se extubó de manera temprana (p=0,01). El tiempo de circulación extracorpórea, el de clampaje aórtico, la transfusión con crioprecipitados, la saturación de la presión de oxígeno, y el hematocrito al finalizar el procedimiento quirúrgico no evidenciaron diferencias (p>0,05). En el período posquirúrgico, la estadía en UTI fue más corta en los pacientes que fueron extubados de manera temprana (p=0,0007), pero no hubo diferencias en la estadía hospitalaria total (p=0,26).

Conclusiones

La extubación temprana en la institución si bien resultó de baja frecuencia ha demostrado ser una alternativa segura y eficaz para disminuir la estancia en UTI de estos pacientes.

Palabras clave:
Quirófanos
Servicio de Cirugía en hospital
Anestesia
Servicio de Anestesia en hospital
Tetralogía de Fallot
Cardiopatías congénitas

Article

These are the options to access the full texts of the publication Enfermería Intensiva (English Edition)
Member
Si es usted socio de SEEIUC :
Diríjase al área de socios de la web de la SEEIUC, (https://seeiuc.org/mi-cuenta/iniciar-sesion/) y autentifíquese.
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Enfermería Intensiva (English Edition)

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 22,50 €

Comprar ahora
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.