Early Extubation in Ventricular Septal Defect
|Ranjith Baskar Karthekeyan1*, Ayya syama sundar2, Sajith Sulaiman2, Harish Ravulapalli2, Mahesh Vakamudi3 and Priyasamy Thangavelu4|
|1Department of Cardiac anesthesiology, Sri Ramachandra Medical College and research Institute, Porur, Chennai, India|
|2Resident in cardiac anesthesia, Sri Ramachandra Medical College and research Institute, Porur, Chennai, India|
|3Professor and Head, Department of anesthesiology and critical care, Sri Ramachandra Medical College and research Institute, Porur, Chennai, India|
|4Associate Professor in Cardiac surgery, Sri Ramachandra Medical College and research Institute, Porur, Chennai, India|
|Corresponding Author :||Ranjith Baskar Karthekeyan
Associate Professor, Department of Cardiac anesthesiology
Sri Ramachandra Medical College and research Institute
NO 1, Ramachandra nagar, Porur, Chennai-116, India
Tel: 9144-24986880, 91 9841136568
E-mail: [email protected]
|Received October 08, 2010; Accepted October 28, 2010; Published October 30, 2010|
|Citation: Karthekeyan RB, Sundar AS, Sulaiman S, Ravulapalli H, Vakamudi M, et al. (2010) Early Extubation in Ventricular Septal Defect. J Clinic Experiment Cardiol 1:106. doi: 10.4172/2155-9880.1000106|
|Copyright: © 2010 Karthekeyan RB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Intoduction: The objective of the study to determine the feasibility of early extubation and to know the risk factors for delayed extubation in children who underwent closure of the VSD.
Materials and methods: The study was a prospective study done in a tertiary care university hospital. 87 consecutive patients undergoing VSD closure was included in the study. The interventions were to extubate as many patients as feasible within four hours after surgery.
Results: 68 of patients were extubated within 4 hours and 19 patients was extubated after 4hours. Mean duration of ventilation among male patients was 160.2 minutes and among female patients was 211.84 minutes. The mean age of the patient was 6.67 years. The mean weight of the patient was 16.85kg. The mean cardiopulmonary bypass time was 53.8 minutes. The mean cross clamp time was 30.11minutes. The mean duration of ventilation in mild PAH was 135.8minutes, moderate PAH was 190 minutes and severe PAH was 238.4minutes. The mean duration of ventilation in perimembranous VSD was 179.56 minutes, sub aortic VSD was 210 minutes and muscular VSD was 162.38 minutes.
Conclusions: Cardiopulmonary bypass time and aortic cross clamp time are the two factors which delay the early extubation. Age, weight, sex, severity of pulmonary artery hypertension and type of VSD did not affect early extubation.