Early extubation following open heart surgery in pediatric patients with congenital heart diseases.

摘要: The study of tracheal extubation time in pediatric patients who underwent open heart surgery was performed the period 1990-1991 (group 1) and 1992-May 1994 2), composed 174 208 cases group 1 2 respectively. criteria for these are convention regimens with considered subsequent standard CPB, such as fully rewarmed, hemodynamic stable adequate cardiac output low-dose or no inotropes/ vasodilator, without significant dysrhythmias mediastinal bleeding. difference postoperative fluid management between two groups include total intake two-thirds daily maintenance 1, whereas, therapy depended on patients' age body weight. results show that, early within 8 hours ICU arrival were 20.5 per cent 61.7 All 2, after extubation, discharged to ward first day. overnight ventilation about 74.1 30.6 second prolonged intubation (more than 24 hours) almost same groups. There complication limitation intake. causes reintubation both overload residual lesions. prior etiology occurred more 2. It concluded change regimens, following open-heart is highly successful complication. benefits cost savings, patient comfort, mobilization, improved function, reduced respiratory complications reduction case cancellation due discharge.