Postoperative course in the cardiac intensive care unit following the first stage of Norwood reconstruction

Cardiology in the Young
Gil WernovskyS Tabbutt

Abstract

The medical records of all patients born between 1 September, 2000, and 31 August, 2002, and undergoing the first stage of Norwood reconstruction, were retrospectively reviewed for details of the perioperative course. We found 99 consecutive patients who met the criterions for inclusion. Hospital mortality for the entire cohort was 15.2%, but was 7.3%, with 4 of 55 dying, in the setting of a "standard" risk profile, as opposed to 25.0% for those with a "high" risk profile, 11 of 44 patients dying in this group. Extracorporeal membrane oxygenation was utilized in 7 patients, with 6 deaths. Median postoperative length of stay in the hospital was 14 days, with a range from 2 to 85 days, and stay in the cardiac intensive care unit was 11 days, with a range from 2 to 85 days. Delayed sternal closure was performed in 18.2%, with a median of 1 day until closure, with a range from zero to 5 days. Excluding isolated delayed sternal closure, and cannulation and decannulation for extracorporeal support, 24 patients underwent 33 cardiothoracic reoperations, including exploration for bleeding in 12, diaphragmatic plication in 4; shunt revision in 4, and other procedures in 13. The median duration of total mechanical ventilation was 4.0 days...Continue Reading

References

Jan 6, 1983·The New England Journal of Medicine·W I NorwoodD D Hansen
Jun 1, 1997·Controlled Clinical Trials·J ZhangM E Stepanavage
Aug 19, 2000·Cardiology in the Young·R M FreedomW G Williams
Mar 31, 2001·Intensive Care Medicine·D BraccoR Chioléro
Jan 16, 2002·The Annals of Thoracic Surgery·D C DrinkwaterP A Chang
Feb 6, 2002·The Journal of Thoracic and Cardiovascular Surgery·J William GaynorThomas L Spray
Jul 10, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J William GaynorThomas L Spray
May 20, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Edward MalecTomasz Mroczek
Aug 14, 2003·The Journal of Pediatrics·Jane W NewburgerGil Wernovsky
Dec 11, 2003·The Journal of Thoracic and Cardiovascular Surgery·N S GhanayemJ S Tweddell
Jan 17, 2004·The Annals of Thoracic Surgery·Gail E WrightThomas J Kulik
Jul 13, 2004·Cardiology in the Young·Redmond P BurkeAnthony F Rossi
Jul 31, 2004·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Nilto C De Oliveira, Glen S Van Arsdell
Jul 31, 2004·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Irving Shen, Ross M Ungerleider
Jul 31, 2004·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Shunji SanoOsami Honjo
Sep 15, 2004·Circulation·Nilto C De OliveiraGlen S Van Arsdell
Nov 2, 2004·British Journal of Anaesthesia·I MalagonM G Hazekamp
Jan 8, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Susan R HintzUNKNOWN ELSO Registry
Jun 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·A Marc HarrisonMary E Temple
Oct 11, 2005·The Journal of Thoracic and Cardiovascular Surgery·Christopher A CaldaroneGlen S Van Arsdell
Nov 1, 2005·The Journal of Thoracic and Cardiovascular Surgery·Margaret L SkinnerScott M Bradley
Nov 24, 2005·Asian Cardiovascular & Thoracic Annals·Yuko TakedaHirotsugu Okamoto
Jan 10, 2006·The Journal of Thoracic and Cardiovascular Surgery·Emile A BachaZiyad M Hijazi
Jan 10, 2006·The Journal of Thoracic and Cardiovascular Surgery·Michael E MitchellThomas L Spray
Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Chad N StasikRichard G Ohye
Feb 14, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Clifford L CuaPeter C Laussen
Feb 21, 2006·The Annals of Thoracic Surgery·Howard E JeffriesDavid Y Moromisato
May 9, 2006·The Journal of Thoracic and Cardiovascular Surgery·Jürgen StiehHans Heiner Kramer
May 30, 2006·The Annals of Thoracic Surgery·James Jaggers, Jeffrey H Lawson
May 30, 2006·The Annals of Thoracic Surgery·Christian PizarroWilliam I Norwood
Jun 2, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Chitra RavishankarSarah Tabbutt

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Citations

Jan 14, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Izabela Pagowska-KlimekJacek J Moll
May 11, 2011·Cardiology in the Young·Hannah C GlassPatrick S McQuillen
May 7, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Aymen N NaguibTimothy M Hoffman
Mar 30, 2013·Critical Care Clinics·George Ofori-Amanfo, Ira M Cheifetz
Aug 30, 2011·The Annals of Thoracic Surgery·Alexandros N KaravasDavid P Bichell
Jan 19, 2010·Paediatric Anaesthesia·Aymen N NaguibMark Galantowicz
Jan 4, 2012·Journal of the American College of Cardiology·Jeffrey A FeinsteinGerard R Martin
Apr 18, 2019·Cardiology in the Young·Pilar Anton-MartinBrigham C Willis
Jul 24, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Shobha S NatarajanJonathan J Rome
Oct 27, 2020·Cardiology in the Young·Andrea PiseskyAlejandro Floh

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