ISSN 1305-5550 | e-ISSN 2548-0669
Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi [GKD Anest Yoğ Bak Dern Derg]
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 Ödemiş5
1Department 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.
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.

Keywords: Airway extubation, cardiac surgery, congenital heart diseases, fontan circulation

Sorumlu Yazar: Şima Kozan, Türkiye
Makale Dili: İngilizce
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