The Influence of Fluid Overload on the Length of Mechanical Ventilation in Pediatric Congenital Heart Surgery

摘要: Fluid overload and prolonged mechanical ventilation lead to worse outcomes in critically ill children. However, the association between these variables children following congenital heart surgery is unknown. The objectives of this study were describe fluid duration ventilation, oxygen requirement radiologic findings pulmonary chest wall edema. This a retrospective chart review patients who underwent June 2010 December 2013. Univariate multivariate associations maximum cumulative balance length OI tested using Spearman correlation test multiple linear regression models, respectively. There 85 eligible patients. Maximum was associated with (adjusted analysis beta coefficient = 0.53, CI 0.38–0.66, P < 0.001), stay pediatric intensive care unit (Spearman’s 0.45, presence edema pleural effusions on radiograph (Mann–Whitney test, 0.003). Amount red blood cells transfused use nitric oxide independently increased (P 0.012 0.014, respectively). PICU after surgery. also physiological markers respiratory restriction. A randomized controlled trial restrictive versus liberal replacement strategy necessary patient population, but meantime, accumulating observational evidence suggests that cautious postoperative may be warranted.