title: Feasibility of Intraoperative Extubation in Pediatric Heart Transplantation.
abstract: Based on described benefits of fast-tracking and early extubation in children undergoing congenital heart surgery, we applied this concept to selected children following uncomplicated orthotopic heart transplantation (OHT). In this case series, we report four patients who were extubated immediately after surgery in the operating room. A mild respiratory acidosis and hypercapnia were noted on the initial arterial blood gases, were well tolerated, and were normalized within 6 to 12 hours. There was no mortality among patients who were extubated in the operating room, and no patients required reintubation. We conclude that operating room extubation is feasible in selected patients undergoing OHT.
authors: 1 Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors: Samuel R
authors: SR
authors: Schnittman
authors: 2 Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors: Saima
authors: S
authors: Rashid
authors: 3 Division of Pediatric Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors: Alexander
authors: A
authors: Egbe
authors: 3 Division of Pediatric Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors: Barry
authors: B
authors: Love
authors: 1 Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors: Khanh
authors: K
authors: Nguyen
authors: 2 Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors: Alexander J C
authors: AJC
authors: Mittnacht
authors: 1 Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors: Aaron J
authors: AJ
authors: Weiss
mesh_terms: D000293:Adolescent; D060666:Airway Extubation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008297:Male; D011182:Postoperative Care / Q000379:methods*; D012189:Retrospective Studies
keywords: heart transplantation; pediatric; pulmonary vascular resistance/hypertension; ventilation