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Early extubation in tetralogy of Fallot patients after complete repair

Published online by Cambridge University Press:  08 February 2011

Ranjith Baskar Karthekeyan ,
Ayya Syama Sundar ,
Sajith Sulaiman ,
Periyasamy Thangavelu ,
Mahesh Vakamudi  and
Thenali Kasianandan
Ranjith Baskar Karthekeyan*
Affiliation:
Department of Cardiac Anesthesiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India
Ayya Syama Sundar
Affiliation:
Resident in Cardiac Anesthesia, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India
Sajith Sulaiman
Affiliation:
Resident in Cardiac Anesthesia, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India
Periyasamy Thangavelu
Affiliation:
Associate Professor in Cardiac Surgery, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India
Mahesh Vakamudi
Affiliation:
Professor and Head, Department of Anesthesiology and Critical Care, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India
Thenali Kasianandan
Affiliation:
Resident in Cardiac Anesthesia, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, India
*
Correspondence to: Associate Professor Ranjith Baskar Karthekeyan, Department of Cardiac Anesthesiology, Sri Ramachandra Medical College and Research Institute, no. 1, Ramachandra Nagar, Porur, Chennai 116, India. Tel: 9144 24986880, 91 9841136568; Fax: 9144 45928627; E-mail: ranjithb73@gmail.com
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Abstract

Aim

To document the feasibility of early extubation and to know the effect of age, weight, and post-operative right ventricle/left ventricle ratio in early extubation in intracardiac repair for tetralogy of Fallot.

Materials and methods

This is a prospective study of 76 consecutive patients undergoing intracardiac repair between January, 2010 and April, 2010. The patients were compared between duration of ventilation with age, weight, and post-operative left ventricle/right ventricle ratio.

Results

In the age group less than 10 years, 47 patients were extubated within 4 hours and 12 after 4 hours. In the age group of 10–20 years, eight patients were extubated within 4 hours and seven patients after 4 hours. In the more than 20 years category, one patient was extubated within 4 hours and the other after 4 hours. In the weight category less than 10 kilograms, 17 patients were extubated within 4 hours and seven patients after 4 hours. In the 10–20 kilogram category, 27 patients were extubated before 4 hours and four patients after 4 hours. In the more than 20-kilogram category, 12 patients were extubated before 4 hours and nine patients after 4 hours. Where the ratio was less than 0.5, 47 patients were extubated within 4 hours and 14 patients after 4 hours. Where the ratio was greater than 0.5, nine patients were extubated within 4 hours and six patients after 4 hours.

Conclusion

There was no correlation between duration of ventilation with age, weight, and right ventricle/left ventricle ratio. Early extubation in patients after intracardiac repair in tetralogy of Fallot is safe and effective.

Keywords

Cyanosisfast trackcongenital
Type
Original Articles
Information
Cardiology in the Young , Volume 21 , Issue 4 , 12 July 2011 , pp. 378 - 382
Copyright
Copyright © Cambridge University Press 2011

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