Postoperative mechanical ventilation after corrective Tetralogy of Fallot surgery in infants: Assessment of perioperative factors and radiographic severity scores
Issued Date
2024-12-01
Resource Type
eISSN
24056030
Scopus ID
2-s2.0-85209347753
Journal Title
Perioperative Care and Operating Room Management
Volume
37
Rights Holder(s)
SCOPUS
Bibliographic Citation
Perioperative Care and Operating Room Management Vol.37 (2024)
Suggested Citation
Limratana P., Maisat W., Ferguson L., Baird C.W., Yuki K. Postoperative mechanical ventilation after corrective Tetralogy of Fallot surgery in infants: Assessment of perioperative factors and radiographic severity scores. Perioperative Care and Operating Room Management Vol.37 (2024). doi:10.1016/j.pcorm.2024.100446 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/102157
Title
Postoperative mechanical ventilation after corrective Tetralogy of Fallot surgery in infants: Assessment of perioperative factors and radiographic severity scores
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Abstract
Early recovery from surgery for congenital heart disease (CHD) is becoming a trend. Tetralogy of Fallot/pulmonary stenosis (TOF/PS) is the most common cyanotic CHD with excellent long-term outcomes. We examined potential factors associated with early extubation in 249 patients who underwent TOF/PS complete repair in a tertiary pediatric medical center from January 2015 to December 2022. Patient demographics, preoperative characteristics, intraoperative variables, postoperative outcomes, surgical type, surgical duration, cardiopulmonary bypass (CPB) time, cross-clamp time, and blood product volumes were acquired from the electronic medical records. Valve sparing repair (VSR) tends to demonstrate earlier recovery profiles than transannular patch repair (TAP) irrelevant of the presence of monocusp valve (P < 0.0001) and the degree of right ventricular outflow pressure drop was significantly correlated with post-operative recovery profile (p = 0.0204). Because of intracardiac shunts and PaO2/FiO2 ratios being poor indicators of lung injury, Brixia scores were also used. Our data suggested that Brixia score could be an excellent alternative to evaluate post-operative lung status.