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dc.contributor.authorGeister, Emma
dc.contributor.authorEsquivel, Raquel
dc.contributor.authorCrethers, Danielle
dc.contributor.authorWeatherholt, Danalynn
dc.contributor.authorSanchez, Maria Gabriela
dc.contributor.authorMunoz, Gustavo
dc.contributor.authorPolimenakos, Anastasios C.
dc.date.accessioned2020-02-25T15:38:24Z
dc.date.available2020-02-25T15:38:24Z
dc.date.issued1/30/2020
dc.identifier.urihttp://hdl.handle.net/10675.2/623092
dc.descriptionPresentation given at the 21th Annual Phi Kappa Phi Student Research and Fine Arts Conference
dc.description.abstractEarly extubation (EE) has become a critical determinant in perioperative management following congenital heart surgery (CHS) during early childhood. Fast track (FT) strategies and EE, when feasible, can have beneficial effect on clinical outcomes. We sought to determine the impact of EE on clinical outcomes, total hospital costs, identify predictors of failure and suggested criteria for new patients. A retrospective chart review of children ?6 years old (n = 64) who underwent CHS between January-December 2017 was performed. EE was defined as successful removal of the endotracheal tube in the operating room or upon arrival in intensive care unit (ICU). Groups were identified as (A):EE/Fast track and (B):no EE. Determinants for EE failure were assessed, and cost analysis pursued.�We found 39 patients were EE compared to 25 that were not. Children who were EE (mean=6.795 days, sd = 4.250) spend significantly less (p�< 0.0001) overall time in the ICU compared to non-EE patients (mean= 19.960 days, sd= 13.081). We also found that the total hospital stay for patients who were EE (mean= 6.976 days, sd= 4.090) was significantly reduced compared to those who were not (mean=21.783 days, sd=13.450) (p�<0.0001). Furthermore, we found that children who were EE had a significant reduction (p�<0.0001, sd= 23,196.203) in total hospital cost than patients who were not EE. Based on our analysis, we concluded that EE is feasible following CHS during early childhood but requires team approach and thoughtful use of FT protocols.
dc.subject
dc.titleFast-Track Extubation in Infancy and Early Childhood Following Heart Surgery: outcome analysis and predictors of failure
dc.typePoster
dc.contributor.departmentDepartment of Cellular Biology and Anatomy
dc.contributor.departmentDepartment of Surgery
cr.funding.sourceAugusta University CURS Summer Scholars Program
dc.contributor.affiliationAugusta University
dc.contributor.sponsorPolimenakos, Anastasios C.


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