Akademik Veri Yönetim Sistemi
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, cilt.27, sa.2, ss.763-772, 2023 (SCI-Expanded, Scopus)
OBJECTIVE: Anesthesia manage-ment in pediatric cardiac surgery using health resources sparingly focuses on reducing mor-bidity and mortality and increasing patients' quality of life. The duration of postoperative me-chanical ventilation (MV) heavily influences pe-diatric cardiac surgery recovery. Thus, in this study we aimed to determine factors influencing extubation times after pediatric cardiac surgery. PATIENTS AND METHODS: A total of 72 pe-diatric patients with an ASA score of III or above undergoing cardiac surgery were included in the study. As a result of their extubation time, the patients were divided into three groups as fol-lows: those who were extubated immediately af-ter surgery or in the operating room (OR) were recorded as Immediate Extubators (IE); those who were extubated within 6 to 48 hours of en-tering the intensive care unit were recorded as Early Extubators (EE), and those who were ex-tubated after 48 hours or not extubated were re-corded as Delayed Extubators (DE). RESULTS: A logistic regression analysis showed that anomalies and need of MV before surgery, airway difficulty, and prolonged cross -clamp (CC) time were observed as factors af-fecting DE. The risk of DE was significantly cor-related with the presence of abnormality [Odds ratio (OR): 20.3, 95% Confident interval (CI): 2.8-142.7], with the need of MV before surgery (OR: 1,844, 95% CI: 1.8-1,790,461.9), and with the presence of airway difficulty (OR: 44.7, 95% CI: 4.4-445.0). In addition, it was determined that CC time increased the probability of DE 1.038 times per minute (95% CI: 1.004-1.072). CONCLUSIONS: Early and immediate extuba-tion in children who underwent congenital heart surgery was successfully performed in our clin-ic. Early and immediate extubation in pediatric cardiac surgery can be completed safely and successfully when suitable conditions are pro-vided.