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Journals / Meandros Medical And Dental Journal / 2024 / Volume: 25 Issue: 4

UNVEILING PREOPERATIVE CLINICAL PROFILES IN PEDIATRIC AORTIC COARCTATION: INSIGHTS INTO SURGICAL INTERVENTIONS AND INSTITUTIONAL ANESTHESIA PRACTICES

Pediatrik aort koaktasyonunda preoperatif klinik profillerin ortaya çıkarılması: Cerrahi girişimler ve kurumsal anestezi uygulamaları

Canan Salman Önemli(City Hospital)0000-0002-6789-2096
Kübra Evren Şahin(Saglik Bilimleri University, Dr.Behcet Uz Child Disease And Surgery Training and Research Hospital, Department of Anesthesiology)0000-0003-0284-0241
Ömer Faruk Gülaştı(Saglik Bilimleri University, Dr.Behcet Uz Child Disease And Surgery Training and Research Hospital, Department of Pediatric Cardiovascular Surgery)0000-0001-8019-5116
Mustafa Karaçelik(Saglik Bilimleri University, Dr.Behcet Uz Child Disease And Surgery Training and Research Hospital, Department of Pediatric Cardiovascular Surgery)0000-0003-4900-5331
Çağatay Bilen(Adnan Menderes University Pediatric Cardiovascular Surgery)0000-0002-9158-5627
Pages
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Publication Date
2024-12-22
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: This research contributes critical insights aimed at refining treatment strategies and enhancing overall out-comes, with particular attention to addressing challenges related to delayed extubation and postoperative vaso-dilator requirements.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The study seeks to provide valuable insights into the outcomes of anesthesia and surgical practices employed in our institution, addressing the challenges posed by preoperative conditions such as heart failure, inotropic support requirements, and mechanical ventilation needs, particularly in the delicate population of newborns.
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Key Findings & Data:Materials and Methods: Our investigation conducted a retrospective analysis encompassing all patients who underwent surgery for aortic coarctation at the Pediatric Cardiac Surgery Clinic of the 350-bed Dr.
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Conclusion & Impact:Conclusion: This research contributes critical insights aimed at refining treatment strategies and enhancing overall out-comes, with particular attention to addressing challenges related to delayed extubation and postoperative vaso-dilator requirements.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Aortic coarctation · surgery · anesthesia

Abstract

Objective: The study seeks to provide valuable insights into the outcomes of anesthesia and surgical practices employed in our institution, addressing the challenges posed by preoperative conditions such as heart failure, inotropic support requirements, and mechanical ventilation needs, particularly in the delicate population of newborns. Materials and Methods: Our investigation conducted a retrospective analysis encompassing all patients who underwent surgery for aortic coarctation at the Pediatric Cardiac Surgery Clinic of the 350-bed Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital Hospital between 2012 and 2021. Results: The study encompassed a cohort of 97 patients spanning from newborns to adolescents, with 61 males and 36 females, revealing a 19.5% incidence of genetic anomalies. Intraoperatively, 4.1% of patients required vasodi-lators, and 13.4% had a triple inotropic requirement. Postoperatively, monitoring distribution included 59 patients in the cardiac surgery intensive care unit, 36 in the neonatal intensive care unit, and 2 in the pediatric intensive care unit. Early extubation within the first 24 hours was achieved in 57.7% of patients. Conclusion: This research contributes critical insights aimed at refining treatment strategies and enhancing overall out-comes, with particular attention to addressing challenges related to delayed extubation and postoperative vaso-dilator requirements.

Özet

Amaç: Çalışma özellikle hassas yenidoğan popülasyonunda kalp yetmezliği, inotropik destek gereksinimleri ve mekanik ventilasyon ihtiyaçları gibi ameliyat öncesi koşulların yarattığı zorlukları ele alarak, kurumumuzda uygulanan anestezi ve cerrahi uygulamaların sonuçlarına ilişkin değerli bilgiler sağlamayı amaçlamaktadır. Materyal ve Metod: Araştırmamızda, 350 yataklı Dr. Behçet Uz Çocuk Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi Çocuk Kalp Cerrahisi Kliniği'nde 2012-2021 yılları arasında aort koarktasyonu nedeniyle ameliyat edilen tüm hastaları kapsayan retrospektif bir analiz gerçekleştirildi. Sonuçlar: Çalışma yenidoğanlardan ergenlere kadar uzanan, 61 erkek ve 36 kadından oluşan 97 hastalık bir kohortu kapsıyordu ve %19,5 oranında genetik anormallik insidansını ortaya çıkardı. Ameliyat sırasında hastaların %4,1'inde vazodilatörlere ihtiyaç duyuldu ve %13,4'ünde üçlü inotrop ihtiyacı oluştu. Ameliyat sonrası izlem dağılımı, kalp cerrahisi yoğun bakım ünitesinde 59, yenidoğan yoğun bakım ünitesinde 36 ve çocuk yoğun bakım ünitesinde 2 hastayı içeriyordu. Hastaların %57,7'sinde ilk 24 saatte erken ekstübasyon sağlandı. Tartışma: Bu araştırma, gecikmiş ekstübasyon ve postoperatif vazodilatör gereklilikleriyle ilgili zorlukların ele alınmasına özellikle dikkat ederek, tedavi stratejilerini iyileştirmeyi ve genel sonuçları iyileştirmeyi amaçlayan kritik görüşlere katkıda bulunmaktadır.

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Cite This Article

Önemli, C. S., Şahin, K. E., Gülaştı, Ö. F., Karaçelik, M., Bilen, Ç. (2024). UNVEILING PREOPERATIVE CLINICAL PROFILES IN PEDIATRIC AORTIC COARCTATION: INSIGHTS INTO SURGICAL INTERVENTIONS AND INSTITUTIONAL ANESTHESIA PRACTICES. Meandros Medical And Dental Journal, Volume: 25 Issue: 4. https://doi.org/10.69601/meandrosmdj.1532632

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