Risk factors for mechanical ventilation in infants and young children undergoing cardiac surgery with pulmonary hypertension
10.3760/cma.j.issn.1001-4497.2015.010.002
- VernacularTitle:婴幼儿先天性心脏病合并肺动脉高压术后机械通气时间的影响因素分析
- Author:
Li JIANG
;
Hongtao YAN
;
Sheng DING
;
Yunming LI
;
Jinbao ZHANG
- Publication Type:Journal Article
- Keywords:
Infants;
Pulmonary hypertension;
Mechanical ventilation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2015;31(10):581-584
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate factors associated with mechanical ventilation in infants and young children undergoing cardiac surgery with pulmonary hypertension.Methods 161 Children who were ≤36 months of age, had congenital heart disease with pulmonary hypertension, and had been treated at our hospital between October 2011 and April 2013 were included in this retrospective study.Stepwise linear regression analysis was used to analyse the independent risk factors associated with mechanical ventilation (MV).Results The average of MV time was 40.9 h, the independent risk factors for MV were cardiopulmonary bypass(CPB) time (P =0.020), risk adjustment for surgery for congenital heart disease (RACHS-1) (P =0.014) ,low cardiac output syndrome(LCOS) (P ＜0.001), ventilator-associated pneumonia(VAP) (P =0.001) and postoperative pulmonary artery systolic pressure (sPAP) (P ＜ 0.001).Conclusion The present results suggest that CPB time,RACHS-1 score, LCOS, VAP and postoperative sPAP can significantly affect the MV time in infants and young children with pulmonary hypertension after cardiac surgery.
