EVALUATION OF RESPIRATORY FAILURE FOLLOWING PEDIATRIC CARDIAC SURGERY
Journal
Acta Morphologica
Date Issued
2021-08
Author(s)
Abstract
Background: This study evaluated the respiratory failure (postoperative reintubation,
respiratory acidosis, deterioration of gas blood, respiratory disfunctions, hypoxia) after
congenital heart surgery.
Material and methods: To evaluate the impact of respiratory failure (within 48 hours
postoperatively) in patients undergoing congenital heart surgery. This retrospective study
included 45 operated patients (male and female aged 3 to 9 months) who had undergone cardiac
surgery at the University Clinic for Pediatric Surgery in a period of two years.
Type of congenital heart diseases, perioperative and postoperative parameters (duration of
cardiopulmonary bypass - CPB, cross-clamping of aorta, duration of stay in ICU and
complications) were analyzed.
Results: Of a total of 45 operated patients, five required reintubation, and their average age
was 7.5 months, and median body weight 7.8 kg. Perioperative procedures were prolonged
(duration of CPB - 97 minutes, aortic cross-clamping time - 59 min. and duration stay in ICU
-7.2 days), caused postoperative complications (chylothorax, respiratory infection and thoracic
bleeding) and worsening of respiratory failure. We evaluated postoperative respiratory failure
in five reintubated patients.
Conclusion: Prolongated perioperative and postoperative procedures were significantly
associated with postoperative complications, worsening of the general condition and prolonged
postoperative treatment.
respiratory acidosis, deterioration of gas blood, respiratory disfunctions, hypoxia) after
congenital heart surgery.
Material and methods: To evaluate the impact of respiratory failure (within 48 hours
postoperatively) in patients undergoing congenital heart surgery. This retrospective study
included 45 operated patients (male and female aged 3 to 9 months) who had undergone cardiac
surgery at the University Clinic for Pediatric Surgery in a period of two years.
Type of congenital heart diseases, perioperative and postoperative parameters (duration of
cardiopulmonary bypass - CPB, cross-clamping of aorta, duration of stay in ICU and
complications) were analyzed.
Results: Of a total of 45 operated patients, five required reintubation, and their average age
was 7.5 months, and median body weight 7.8 kg. Perioperative procedures were prolonged
(duration of CPB - 97 minutes, aortic cross-clamping time - 59 min. and duration stay in ICU
-7.2 days), caused postoperative complications (chylothorax, respiratory infection and thoracic
bleeding) and worsening of respiratory failure. We evaluated postoperative respiratory failure
in five reintubated patients.
Conclusion: Prolongated perioperative and postoperative procedures were significantly
associated with postoperative complications, worsening of the general condition and prolonged
postoperative treatment.