دورية أكاديمية
Post-cardiotomy ECMO in pediatric and congenital heart surgery: impact of team training and equipment in the results.
| العنوان: | Post-cardiotomy ECMO in pediatric and congenital heart surgery: impact of team training and equipment in the results. |
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| المؤلفون: | Miana LA; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil., Canêo LF; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil., Tanamati C; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil., Penha JG; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil., Guimarães VA; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil., Miura N; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil., Galas FR; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil., Jatene MB; Clinics Hospital, Medical School, University of São Paulo, São Paulo, SP, Brazil. |
| المصدر: | Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular [Rev Bras Cir Cardiovasc] 2015 Jul-Aug; Vol. 30 (4), pp. 409-16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sociedade Brasileira de Cirurgia Cardiovascular Country of Publication: Brazil NLM ID: 9104279 Publication Model: Print Cited Medium: Internet NLM ISO Abbreviation: Rev Bras Cir Cardiovasc Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: São Paulo, SP, Brasil : Sociedade Brasileira de Cirurgia Cardiovascular |
| مواضيع طبية MeSH: | Education, Continuing/*statistics & numerical data , Extracorporeal Membrane Oxygenation/*education , Transposition of Great Vessels/*surgery, Extracorporeal Membrane Oxygenation/instrumentation ; Extracorporeal Membrane Oxygenation/mortality ; Female ; Heart Defects, Congenital/surgery ; Humans ; Infant ; Infant, Newborn ; Logistic Models ; Male ; Patient Discharge ; Program Evaluation ; Retrospective Studies ; Survival Rate ; Treatment Outcome |
| مستخلص: | Introduction: Post-cardiotomy myocardial dysfunction requiring mechanical circulatory support occurs in about 0.5% of cases. In our environment, the use of extracorporeal membrane oxygenation has been increasing in recent years. Objective: To evaluate the impact of investment in professional training and improvement of equipment in the rate of weaning from extracorporeal membrane oxygenation and survival. Methods: A retrospective study. Fifty-six pediatric and/or congenital heart patients underwent post-cardiotomy extracorporeal membrane oxygenation at our institution between November 1999 and July 2014. We divided this period into two phases: phase I, 36 cases (before the structuring of the extracorporeal membrane oxygenation program) and phase II, 20 cases (after the extracorporeal membrane oxygenation program implementation) with investment in training and equipment). Were considered as primary outcomes: extracorporeal membrane oxygenation weaning and survival to hospital discharge. The results in both phases were compared using Chi-square test. To identify the impact of the different variables we used binary logistic regression analysis. Results: Groups were comparable. In phase I, 9 patients (25%) were weaned from extracorporeal membrane oxygenation, but only 2 (5.5%) were discharged. In phase II, extracorporeal membrane oxygenation was used in 20 patients, weaning was possible in 17 (85%), with 9 (45%) hospital discharges (P<0.01). When the impact of several variables on discharge and weaning of extracorporeal membrane oxygenation was analyzed, we observe that phase II was an independent predictor of better results (P<0.001) and need for left cavities drainage was associated with worse survival (P=0.045). Conclusion: The investment in professional training and improvement of equipment significantly increased extracorporeal membrane oxygenation results. |
| التعليقات: | Comment in: Rev Bras Cir Cardiovasc. 2015 Jul-Aug;30(4):IV-VI. (PMID: 27163432) |
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| تواريخ الأحداث: | Date Created: 20160511 Date Completed: 20160725 Latest Revision: 20220310 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4614923 |
| DOI: | 10.5935/1678-9741.20150053 |
| PMID: | 27163414 |
| قاعدة البيانات: | MEDLINE |
| DOI: | 10.5935/1678-9741.20150053 |
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