Factors associated with failure in ventilatory weaning of children undergone pediatric cardiac surgery

Rev Bras Cir Cardiovasc. 2008 Oct-Dec;23(4):501-6. doi: 10.1590/s0102-76382008000400008.
[Article in English, Portuguese]

Abstract

Objective: To assess factors associated with failure in ventilatory weaning of children undergone surgical correction of congenital heart diseases.

Methods: Cohort study with 29 children. The heart diseases were divided into cyanotic (nine children) and acyanotic (20 children). We studied children from 0 to 5 years who underwent heart surgery with invasive mechanical ventilation.

Results: The failure group presented smaller value in SpO2 and higher values during days of stay in IMV and FiO2 when compared to the success group (P<0.05). It was observed that 4 children (14%) had failed in weaning, being necessary to return the ventilatory prosthesis before 48 hours after extubation.

Conclusion: The days of IMV, SpO2 and FiO2 were the main factors associated with failed extubation in this group of patients.

MeSH terms

  • Blood Gas Analysis
  • Child, Preschool
  • Epidemiologic Methods
  • Female
  • Heart Defects, Congenital / blood
  • Heart Defects, Congenital / classification
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Respiration, Artificial*
  • Time Factors
  • Treatment Failure
  • Ventilator Weaning*