Evidence map›Paper›PMID 38817266›Full record

ArticleAnnals of pediatric cardiology

Effects of on-table extubation on resource utilization and maternal anxiety in children undergoing congenital heart surgery in a low-resource environment.

Kaushik Jothinath, Vijayakumar Raju, Michael E Nemergut, Grace M Arteaga, Pavithra Ramanath, Thirumalaisamy Vijayalakshmi

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Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kaushik JothinathDepartment of Cardiac Anesthesiology, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India.
Vijayakumar RajuDepartment of Cardiac Surgery, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India.
Michael E NemergutDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, New York, USA.
Grace M ArteagaDepartment of Pediatric Critical Care, Mayo Clinic, Rochester, New York, USA.
Pavithra RamanathDepartment of Research and Statistics, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India.
Thirumalaisamy VijayalakshmiDepartment of Nursing, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To study the applicability of on-table extubation (OTE) protocol following congenital cardiac surgery in a low-resource setting and its impact on the length of intensive care unit (ICU) stay, hospital stay, hospitalization cost, parental anxiety, and nurse anxiety. Materials and Methods: In this prospective, nonrandomized, observational single-center study, we included all children above 1 year of age undergoing congenital cardiac surgery. We evaluated them for the feasibility of OTE using a prespecified protocol following separation from cardiopulmonary bypass. The data were prospectively collected on 60 children more than 1 year of age, belonging to the Risk Adjustment for Congenital Heart Surgery 1, 2, 3, and 4 groups and divided into two groups: those who underwent successful OTE and those who were ventilated for any duration postoperatively (30 children in each group). Duration of hospital stay, ICU stay, and total hospital cost were collected. Anxiety levels of the primary caregiver (nurse) in the ICU and the mother were assessed immediately after the arrival of the child in the ICU using the State Trait Anxiety Inventory (STAI). Results: Children who were extubated immediately following congenital cardiac surgery had significantly shorter ICU stay (median 20 [19, 22] h vs. 22 [20, 43] h [ Conclusion: OTE following congenital cardiac surgery is associated with a shorter duration of ICU stay and hospital stay. It also reduces the total hospital cost and the anxiety level in mothers of children undergoing congenital heart surgery. However, the primary bedside caregiver during the child's ICU stay had increased anxiety managing patients with OTE.

Indexed as

Fast-tracking pediatric cardiac surgeryon-table extubation protocolparental anxietyState-Trait Anxiety Trait

Identifiers

PMID38817266
PMCPMC11135879

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