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

Derek S. Wheeler, Catherine L. Dent, Peter B. Manning, David P. Nelson

Research output: Contribution to journalArticle

19 Scopus citations

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.

Original languageEnglish
Pages (from-to)41-50
Number of pages10
JournalCardiology in the young
Volume18
Issue number1
DOIs
StatePublished - Feb 1 2008

Keywords

  • Congenital heart disease
  • Pediatric cardiac intensive care
  • Residual cardiac abnormalities
  • Taussig-bing anomaly
  • Transposition of the great arteries

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