Early extubation after Fontan operation. A clinical report.
نویسندگان
چکیده
A report of early extubation after Fontan operation in nine patients is presented. All patients had a satisfactory course after operation with adequate PaO2 values. The possible benefits of early extubation are discussed.
منابع مشابه
Is an increase in lactate concentration associated with cardiac dysfunction after the Fontan procedure?
PURPOSE To investigate how blood lactate concentration changes in the early postoperative course after the Fontan procedure, and whether such a change is associated with postoperative hemodynamics. MATERIALS AND METHODS Eight pediatric patients who underwent the Fontan procedure for congenital heart disease were included. Enrollment criteria were body weight >10 kg and staged Fontan procedure...
متن کاملFontan modification for subsequent non-surgical Fontan completion.
OBJECTIVE Establishment of Fontan circulation in complex univentricular hearts often requires several surgical procedures. We developed a procedure which maintains the advantages of a staged approach, however, during the initial surgery additional preparatory measures are performed to allow subsequent non-surgical Fontan completion. METHODS The operation is a lateral baffle Fontan procedure. ...
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Parallel advancements in surgical technique, preoperative and postoperative care, as well as a better understanding of physiology in patients with duct-dependent pulmonary or systemic circulation and a functional single ventricle, have led to superb results in staged palliation of most complex congenital heart disease (CHD) [1]. The Fontan procedure and its technical modifications have resulted...
متن کاملPii: S1010-7940(01)00757-6
Objective: Positive pressure ventilation is known to have a deleterious effect on pulmonary blood ̄ow in patients with Fontan physiology. We evaluated the hemodynamic effects of pain free, spontaneous, non-positive pressure ventilation in patients undergoing Fontan staging procedures or completion. Fontan procedures, with creation of low pressure passive pulmonary circulation. Methods: Between ...
متن کاملClinical outcome of patients 20 years after Fontan operation--effect of fenestration on late morbidity.
OBJECTIVE The Fontan operation has been proposed as definitive palliation for an increasing variety of hearts with complex univentricular anatomy, but late morbidity after Fontan operation is still a matter of concern. This retrospective study evaluates the late outcome in patients with Fontan circulation. METHODS We included 121 consecutive patients that underwent Fontan operation between 19...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 52 10 شماره
صفحات -
تاریخ انتشار 1980