GKD Anest Yoğ Bak Dern Derg. 2023; 29(1): 39-44 | DOI: 10.14744/GKDAD.2023.46503
Difference Among Perioperative Factors Related to Ultra-Fast Track Extubation After Fontan Completion
Mehmet Bicer1, Şima Kozan2, Kamil Darçın3, Seçil Çetin3, Murat Tanyıldız4, Ömer Özden4, Mete Han Kızılkaya5, Ender Ödemiş51Department of Pediatric Cardiovascular Surgery, Koç University Hospital, Istanbul, Türkiye
2Faculty of Medicine, Koç University, Istanbul, Türkiye
3Department of Anesthesiology and Reanimation, Koç University Hospital, Istanbul, Türkiye
4Department of Pediatric Intensive Care, Koç University Hospital, Istanbul, Türkiye
5Department of Pediatric Cardiology, Koç University Hospital, Istanbul, Türkiye
Objectives: The immediate extubation technique in patients undergoing a Fontan operation is commonly used to reduce the negative effects of positive-pressure ventilation on pulmonary blood flow and provide a hemodynamic advantage. This study aimed to determine the correlation between the perioperative characteristics of patients undergoing a Fontan operation and the success of fast track extubation.Keywords:
Methods: Perioperative data from patients from all age groups undergoing a Fontan operation were retrospectively analyzed and correlated with their extubation time.
Results: A table extubation was performed on 72.7% of patients undergoing a Fontan operation. Age, presence of fenestration, conduit localization, heterotaxy, cross and bypass durations, and success of ultra-fast track extubation have no significant correlation.
Conclusion: Ultra-fast track extubation strategy facilitated the hemodynamic adaptation of patients to the Fontan circulation. However, the Fontan population has little variation in early extubation characteristics.
Airway extubation, cardiac surgery, congenital heart diseases, fontan circulation
Mehmet Bicer, Şima Kozan, Kamil Darçın, Seçil Çetin, Murat Tanyıldız, Ömer Özden, Mete Han Kızılkaya, Ender Ödemiş. Difference Among Perioperative Factors Related to Ultra-Fast Track Extubation After Fontan Completion. GKD Anest Yoğ Bak Dern Derg. 2023; 29(1): 39-44
Corresponding Author: Şima Kozan, Türkiye
Manuscript Language: English