Feasibility of Intraoperative Extubation in Pediatric Heart Transplantation

Samuel R. Schnittman; Saima Rashid; Alexander Egbe; Barry Love; Khanh Nguyen; Alexander J.C. Mittnacht; Aaron J. Weiss

doi:10.1177/2150135116656978

Feasibility of Intraoperative Extubation in Pediatric Heart Transplantation

Samuel R. Schnittman, Saima Rashid, Alexander Egbe, Barry Love, Khanh Nguyen, Alexander J.C. Mittnacht, Aaron J. Weiss

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Based on described benefits of fast-tracking and early extubation in children undergoing congenital heart surgery, we applied this concept to selected children following uncomplicated orthotopic heart transplantation (OHT). In this case series, we report four patients who were extubated immediately after surgery in the operating room. A mild respiratory acidosis and hypercapnia were noted on the initial arterial blood gases, were well tolerated, and were normalized within 6 to 12 hours. There was no mortality among patients who were extubated in the operating room, and no patients required reintubation. We conclude that operating room extubation is feasible in selected patients undergoing OHT.

Original language	English
Pages (from-to)	650-653
Number of pages	4
Journal	World journal for pediatric & congenital heart surgery
Volume	8
Issue number	5
DOIs	https://doi.org/10.1177/2150135116656978
State	Published - 1 Sep 2017

Keywords

heart transplantation
pediatric
pulmonary vascular resistance/hypertension
ventilation

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title = "Feasibility of Intraoperative Extubation in Pediatric Heart Transplantation",

abstract = "Based on described benefits of fast-tracking and early extubation in children undergoing congenital heart surgery, we applied this concept to selected children following uncomplicated orthotopic heart transplantation (OHT). In this case series, we report four patients who were extubated immediately after surgery in the operating room. A mild respiratory acidosis and hypercapnia were noted on the initial arterial blood gases, were well tolerated, and were normalized within 6 to 12 hours. There was no mortality among patients who were extubated in the operating room, and no patients required reintubation. We conclude that operating room extubation is feasible in selected patients undergoing OHT.",

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AU - Mittnacht, Alexander J.C.

AU - Weiss, Aaron J.

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N2 - Based on described benefits of fast-tracking and early extubation in children undergoing congenital heart surgery, we applied this concept to selected children following uncomplicated orthotopic heart transplantation (OHT). In this case series, we report four patients who were extubated immediately after surgery in the operating room. A mild respiratory acidosis and hypercapnia were noted on the initial arterial blood gases, were well tolerated, and were normalized within 6 to 12 hours. There was no mortality among patients who were extubated in the operating room, and no patients required reintubation. We conclude that operating room extubation is feasible in selected patients undergoing OHT.

AB - Based on described benefits of fast-tracking and early extubation in children undergoing congenital heart surgery, we applied this concept to selected children following uncomplicated orthotopic heart transplantation (OHT). In this case series, we report four patients who were extubated immediately after surgery in the operating room. A mild respiratory acidosis and hypercapnia were noted on the initial arterial blood gases, were well tolerated, and were normalized within 6 to 12 hours. There was no mortality among patients who were extubated in the operating room, and no patients required reintubation. We conclude that operating room extubation is feasible in selected patients undergoing OHT.

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Feasibility of Intraoperative Extubation in Pediatric Heart Transplantation

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