Factors prolonging length of stay in the cardiac intensive care unit following the arterial switch operation.

Abstract:

:The arterial switch operation has become the preferred procedure for surgical management of transposition, defined on the basis of concordant atrioventricular and discordant ventriculo-arterial connections. We conducted a retrospective evaluation of our experience in 61 infants with this segmental combination, seen from January, 1997, to July, 2003, in order to determine the factors that are associated with a prolonged postoperative course. Factors independently associated with a prolonged postoperative stay in the cardiac intensive care unit included prematurity, difficulty in feeding, capillary leak, need for preoperative inotropic support, and postoperative infectious complications. Future research is warranted designed to minimize the impact of capillary leak and postoperative infectious complications. In addition, based on these results, our practice has evolved to initiate enteral feedings in the preoperative period if feasible, with such enteral feedings resumed as soon as possible following surgery.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Wheeler DS,Dent CL,Manning PB,Nelson DP

doi

10.1017/S1047951107001746

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

41-50

issue

1

eissn

1047-9511

issn

1467-1107

pii

S1047951107001746

journal_volume

18

pub_type

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