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1.
World J Pediatr Congenit Heart Surg ; 15(2): 193-201, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37981790

ABSTRACT

BACKGROUND: The primary objective of this study was to identify specific factors in pediatric cardiac surgical patients when tracheal extubation was performed on the operating table after completion of open-heart surgery (Group-1), postoperatively in the intensive care unit within 6 h (Group-II) or after 6 h (Group-III). The causes of failed extubation, the presence of chromosomal disorders in addition to arterial blood gas analysis parameters at the time of tracheal extubation, and the duration of intensive care unit stay were also evaluated in each group. METHODS: In addition to the three groups, Groups I and II were combined as a "fast-track" extubation group. The demographic data, Risk Adjustment for Congenital Heart Surgery (RACHS-1) score, the Society of Thoracic Surgeons - European Association for Cardio-Thoracic Surgery Congenital Heart Surgery Mortality Category (STAT Mortality Category), cardiopulmonary bypass (CPB) time, aortic cross-clamp (ACC) time, and vasoactive-inotropic score (VIS) at the time of tracheal extubation along with data related to secondary objectives were recorded for each patient. RESULTS: A significant association was found by bivariate analysis between clinical variables and for both operating table and fast-track extubation in terms of age, weight, RACHS-1 score, STAT category, CPB and ACC time, and VIS. A multivariate-adjusted analysis showed weight, lower STAT category, CPB time, and VIS were independent predictors for operating table and fast-track extubation. CONCLUSIONS: Younger age, lower weight, higher RACHS-1, STAT category, and VIS, along with longer CPB and ACC, are associated with delay in the timing of tracheal extubation in pediatric cardiac surgical patients.


Subject(s)
Cardiac Surgical Procedures , Heart Defects, Congenital , Thoracic Surgery , Child , Humans , Infant , Heart Defects, Congenital/surgery , Airway Extubation , Risk Factors , Retrospective Studies , Length of Stay
3.
Sultan Qaboos Univ Med J ; 23(Spec Iss): 44-50, 2023 Dec.
Article in English | MEDLINE | ID: mdl-38161760

ABSTRACT

Sinus venosus atrial septal defects present a wide variety of anatomical features and are frequently associated with partial anomalous pulmonary venous drainage of one or more right pulmonary veins. Surgical correction used to be the standard treatment. In recent times, transcatheter correction of superior sinus venosus atrial septal defects has come into vogue. The transcatheter closure of these defects with covered stents at a tertiary care centre in Oman between 2018 and 2023 is reported.


Subject(s)
Heart Septal Defects, Atrial , Pulmonary Veins , Humans , Heart Septal Defects, Atrial/surgery , Pulmonary Veins/surgery , Pulmonary Veins/abnormalities , Stents , Oman
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