Evidence map›Paper›PMID 39691934›Full record

ArticleJournal of Indian Association of Pediatric Surgeons

Evaluating the Impact of Elective Endotracheal Tube Replacement on Postoperative Outcomes in Esophageal Atresia: A STROBE-guided Study.

Ruchira Nandan, Ram Badan Singh, Arvind Bhalekar, Bhanumurthy Kaushik Marripati, Ajay Narayan Gangopadhyay, Vaibhav Pandey

Abstract read
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Article in Journal of Indian Association of Pediatric Surgeons. 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ruchira NandanDepartment of Pediatric Surgery, IMS-BHU, Varanasi, Uttar Pradesh, India.
Ram Badan SinghDepartment of Anesthesiology, IMS-BHU, Varanasi, Uttar Pradesh, India.
Arvind BhalekarDepartment of Anesthesiology, IMS-BHU, Varanasi, Uttar Pradesh, India.
Bhanumurthy Kaushik MarripatiDepartment of Pediatric Surgery, IMS-BHU, Varanasi, Uttar Pradesh, India.
Ajay Narayan GangopadhyayDepartment of Pediatric Surgery, IMS-BHU, Varanasi, Uttar Pradesh, India.
Vaibhav PandeyDepartment of Pediatric Surgery, IMS-BHU, Varanasi, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Elective ventilation and paralysis have been shown to decrease the anastomosis-related complications following primary repair of esophageal atresia (EA). Repeated endotracheal tube (ETT) block and replacement can increase these complications. We evaluated the results of our strategy of electively changing the ETT just before shifting the patient to the postoperative ward for elective ventilation. Materials and Methods: A retrospective study was conducted using the case records of patients from July 2015 to February 2024 including all the patients of EA with tracheoesophageal fistula who underwent primary repair with end-to-end esophageal anastomosis. The patients were divided into two groups Group A: ETT was changed and Group B: ETT was not changed immediately before shifting. The groups were compared for anastomotic leak and ETT tube block in the first 48 h. Results: Ninety-one patients were included in the study, 36 in Group A and 55 in Group B. Elective replacement of ETT decreased the tube block rates in the first 48 h following surgery ( Conclusion: Elective replacement of EET decreases the tube block rates and anastomotic leak rates in cases with anastomosis under tension.

Indexed as

Anastomotic complicationelective ventilationesophageal atresiatracheoesophageal fistula

Identifiers

PMID39691934
PMCPMC11649051

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