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[Respiratory care in infants following cardiac surgery (author's transl)]
Insights
Infants undergoing surgery without extracorporeal circulation (ECC) had lower mortality than those with ECC. Both continuous positive airway pressure (CPAP) and intermittent positive pressure ventilation (IPPV) were used in postoperative infant care.
Area of Science:
- Pediatric Surgery
- Intensive Care Medicine
- Respiratory Support
Context:
- Postoperative intensive care of 73 infants following cardiac surgery.
- Comparison of outcomes for infants undergoing surgery with and without extracorporeal circulation (ECC).
Purpose:
- To report on the postoperative intensive care outcomes of infants undergoing corrective cardiac surgery.
- To compare mortality rates between infants operated on with and without ECC.
- To discuss the use and implications of various respiratory support methods.
Summary:
- Infants operated on without ECC (16.7% mortality) had better outcomes than those with ECC (24.3% mortality).
- Nasotracheal intubation was used in all infants.
- Respiratory support included continuous mandatory ventilation (CMV), intermittent positive pressure ventilation (IPPV), and continuous positive airway pressure (CPAP).
Impact:
- Provides data on comparative mortality in infant cardiac surgery based on ECC use.
- Highlights the role and duration of different mechanical ventilation strategies (CMV, IPPV, CPAP) in postoperative infant care.
- Informs clinical decisions regarding respiratory support and surgical approaches in pediatric cardiac surgery.
Abstract:
Report on results in postoperative intensive care of 73 infants. 37 underwent corrective surgery on extracorporeal circulation (mortality 24,3%), 36 were operated on without ECC (mortality 16.7%). All infants had been intubated by the nasotracheal route, 39 were treated with CPPV (mean duration 32.5 h), 23 with IPPV (mean duration 28 h). Almost 50% were treated with +7 cm H2O CPAP (mean duration 32 h). Advantages and potential hazards of CPPV and CPAP are discussed.