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先天性心脏病手术修复后的早期拔管

Early extubation after surgical repair of congenital heart disease.

作者信息

Heard G G, Lamberti J J, Park S M, Waldman J D, Waldman J

出版信息

Crit Care Med. 1985 Oct;13(10):830-2. doi: 10.1097/00003246-198510000-00010.

DOI:10.1097/00003246-198510000-00010
PMID:4028752
Abstract

Of 220 pediatric patients recovering from surgical repair of congenital heart disease, 147 (67%) met our criteria for early extubation and were extubated either in the operating room or within 6 h after admission to the surgical ICU. The duration of postoperative mechanical ventilation correlated with the duration of cardiopulmonary bypass during surgical repair. In patients undergoing repair of ventricular septal defect, preoperative measures of pulmonary vascular status (PPA/PAO and RP/RS) also correlated with the duration of mechanical ventilation.

摘要

在220例先天性心脏病手术修复后正在康复的儿科患者中,147例(67%)符合我们的早期拔管标准,在手术室或进入外科重症监护病房后6小时内拔管。术后机械通气时间与手术修复期间体外循环时间相关。在接受室间隔缺损修复的患者中,术前肺血管状态指标(PPA/PAO和RP/RS)也与机械通气时间相关。

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Early extubation after surgical repair of congenital heart disease.先天性心脏病手术修复后的早期拔管
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Predictors and outcome of early extubation in infants postcardiac surgery: A single-center observational study.心脏手术后婴儿早期拔管的预测因素及结果:一项单中心观察性研究。
Ann Card Anaesth. 2018 Oct-Dec;21(4):402-406. doi: 10.4103/aca.ACA_209_17.
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Safety profile of fast-track extubation in pediatric congenital heart disease surgery patients in a tertiary care hospital of a developing country: An observational prospective study.发展中国家一家三级护理医院中儿科先天性心脏病手术患者快速拔管的安全性:一项前瞻性观察研究。
J Anaesthesiol Clin Pharmacol. 2014 Jul;30(3):355-9. doi: 10.4103/0970-9185.137267.