乳児姑息的心臓手術の手術室抜管の検討―非心臓手術との比較解析

抄録

【Purpose】We aimed to show the safety of on-table extubation in pediatric cardiac surgery without cardiopulmonary bypass (CPB) compared to noncardiac surgery. 【Method】Patients who underwent elective cardiac surgeries without CPB with age ranging from 1 month to 3 months in Mie University Hospital between October and November 2017 were enrolled. The extubation time of cardiac surgery was evaluated compared to noncardiac surgery. 【Result】In total, 12 patients were enrolled in this study (6 were cardiac surgeries, 6 were noncardiac surgeries). There was no difference in extubation time between cardiac and noncardiac surgeries (10.8± 2.6 vs 12.8± 3.7 min, p=0.75). There was neither incidence of re-intubation nor complications associated with epidural anesthesia. 【Conclusion】On-table extubation for pediatric cardiac surgery without CPB is suggested to be performed safely.