Early extubation in tetralogy of Fallot patients after complete repair

• Published in: Cardiology in the young Vol. 21; no. 4; pp. 378 - 382
• Main Authors: Karthekeyan, Ranjith Baskar, Sundar, Ayya Syama, Sulaiman, Sajith, Thangavelu, Periyasamy, Vakamudi, Mahesh, Kasianandan, Thenali
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.08.2011
• Subjects: Adolescent; Age Factors; Anesthesia; Body Weight; Cardiac Surgical Procedures - methods; Child; Child, Preschool; Cohort Studies; Device Removal; Feasibility Studies; Female; Follow-Up Studies; Heart Ventricles - surgery; Hospital costs; Humans; Intubation; Intubation, Intratracheal - instrumentation; Intubation, Intratracheal - methods; Logistic Models; Male; Morbidity; Mortality; Pain; Postoperative Care - methods; Postoperative period; Prospective Studies; Respiration, Artificial - methods; Surgery; Tetralogy of Fallot - surgery; Time Factors; Treatment Outcome; Ventilation; Young Adult; Cyanosis; fast track; congenital
• ISSN: 1047-9511; 1467-1107
• DOI: 10.1017/S1047951111000059

To document the feasibility of early extubation and to know the effect of age, weight, and post-operative right ventricle/left ventricle ratio in early extubation in intracardiac repair for tetralogy of Fallot. This is a prospective study of 76 consecutive patients undergoing intracardiac repair between January, 2010 and April, 2010. The patients were compared between duration of ventilation with age, weight, and post-operative left ventricle/right ventricle ratio. In the age group less than 10 years, 47 patients were extubated within 4 hours and 12 after 4 hours. In the age group of 10-20 years, eight patients were extubated within 4 hours and seven patients after 4 hours. In the more than 20 years category, one patient was extubated within 4 hours and the other after 4 hours. In the weight category less than 10 kilograms, 17 patients were extubated within 4 hours and seven patients after 4 hours. In the 10-20 kilogram category, 27 patients were extubated before 4 hours and four patients after 4 hours. In the more than 20-kilogram category, 12 patients were extubated before 4 hours and nine patients after 4 hours. Where the ratio was less than 0.5, 47 patients were extubated within 4 hours and 14 patients after 4 hours. Where the ratio was greater than 0.5, nine patients were extubated within 4 hours and six patients after 4 hours. There was no correlation between duration of ventilation with age, weight, and right ventricle/left ventricle ratio. Early extubation in patients after intracardiac repair in tetralogy of Fallot is safe and effective.