The Effects of Perfusion Variables on the Neurologic Sequelae in the Infants Who had Arterial Switch Operation Using Continuous Flow Cardiopulmonary Bypass / 대한마취과학회지
Korean Journal of Anesthesiology
; : 638-644, 1999.
Article
em Ko
| WPRIM
| ID: wpr-31081
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Neurologic sequelae of open heart surgery for congenital heart disease were related with preexisting brain lesion as well as intraoperative causes. These causes are microemboli, blood flow, and blood distribution. METHODS: This study was designed to examine neurologic sequelae and postoperative course in patients with arterial switch operation using continuous flow cardiopulmonary bypass through retrospective chart review. RESULTS: Of 22 patients 4 had neurologic sequelae. Cooling rate, extubation time, and duration of ICU admission and hospital admission were statistically different between the patients with neurologic sequelae or not. Patients with neurologic sequelae had more rapid cooling rate and longer duration of intubation, ICU stay, and hospital admission than patients without neurologic sequelae. CONCLUSIONS: Cooling rate (time to lower 1oC body temperature) is the only factor among perfusion variables to affect on neurologic sequelae. Neurologic complications make it longer to wean the mechanical ventilation, and to stay at ICU and hospital.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Perfusão
/
Respiração Artificial
/
Cirurgia Torácica
/
Encéfalo
/
Ponte Cardiopulmonar
/
Estudos Retrospectivos
/
Cardiopatias Congênitas
/
Intubação
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Infant
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1999
Tipo de documento:
Article