Vasoactive Inotropic Score for Predicting Pediatric Tracheostomy

Background: Although tracheostomy is not performed as frequently in adults, it also used children. There no clear consensus on timing and risk factors, especially early infancy cases who underwent cardiac surgeries. In the period, pediatric surgery patients have to receive an inotropic agent after due poor general condition or hemodynamic instability. As a result of prolonged intubation, required be some these patients. Objectives: The present study aimed investigate relationship between vasoactive scores (VIS) Methods: A total 47 patients, 21 with 26 without tracheostomy, were included this retrospective study. VIS inotrope score (IS) values calculated recorded hourly for 48 h postoperatively. Scores by multiplying inotropes infusion rate certain coefficients. It was attempted determine objective formalized models cut-off that may benefit tracheostomy. Results: median weight 3,630 g (range, 2,040-13,400), age 69 days 1-1,081) day. majority (93.6%) aged < 1 year. Preoperative C-reactive protein measurements significantly higher 50% (P=0.005). albumin levels group (TG) low, although (P=0.057). TG had than non-tracheostomy (NTG) (P<0.001). addition, formula predicted 57% accuracy could (VIS =18.170-0.170* HOUR; P 0.001), 2 72% =17.170-0.170* 0.001). Hospital stay (P<0.001), mechanical ventilation duration number ongoing intubation 7th day post-surgery TG. Conclusion: After surgery, can predict status help intensive care professionals make decisions.