Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access |
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc |
Journal website https://cr.elmerpub.com |
Original Article
Volume 000, Number 000, April 2025, pages 000-000
Achieving Neuroprotection in the Setting of Early Extubation During Infant Cardiac Surgery: A Prospective, Randomized, and Blinded Study
Figures
Tables
No DEX group | DEX group | P-value | |
---|---|---|---|
Data are listed as mean and standard deviation. ASD: atrial septal defect; AVSD: atrioventricular septal defect; DEX: dexmedetomidine; TOF: tetralogy of Fallot; VSD: ventricular septal defect. | |||
Number | 16 | 14 | 16 |
Age (months), mean (SD) | 6 ± 2 | 6 ± 2 | 0.8 |
Weight (kg), mean (SD) | 7 ± 1 | 6 ± 1 | 0.4 |
Gender (female (F)/male (M)) | 6/10 | 4/10 | |
Diagnosis | |||
VSD | 5 | 7 | |
TOF | 9 | 6 | |
AVSD | 2 | 6 |
No DEX group | DEX group | P-value | |
---|---|---|---|
CPB: cardiopulmonary bypass; DEX: dexmedetomidine; OR: operating room; PRBCs: packed red blood cells. | |||
Number | 16 | 14 | |
CPB time (min) | 94 ± 25 | 105 ± 86 | 0.6 |
Aortic cross clamp time (min) | 60 ± 22 | 58 ± 42 | 0.9 |
OR packed RBCs (mL/kg) | 42 ±17 | 46 ± 22 | 0.5 |
OR platelets (number) (mL/kg) | (1) 15 | (2) 23 ± 12 | 0.2 |
OR cryoprecipitate (number) (mL/kg) | (1) 2 | (2) 4 ± 1 | 0.2 |
OR plasma (number) (mL/kg) | 0 | 0 | 1.0 |
OR extubation (number) | 15 | 13 | 0.9 |
No DEX group | DEX group | P-value | |
---|---|---|---|
aComplete heart block. bJunctional ectopic tachycardia. BUN: blood urea nitrogen; CTICU: cardiothoracic intensive care unit; DEX: dexmedetomidine; PRBCs: packed red blood cells. | |||
24 h chest tube output (mL/kg) | 18 ± 7 | 18 ± 8 | 0.8 |
24 h urine output (mL/kg) | 51 ± 20 | 47 ± 20 | 0.51 |
24 h fentanyl dose (µg/kg) | 17 ± 12 | 18 ± 9 | 0.7 |
CTICU length of stay (days) | 2 ± 2 | 2 ± 1 | 0.7 |
Hospital length of stay (days) | 6 ± 2 | 6 ± 3 | 0.5 |
Inotropic score upon arrival to CTICU | 3 ± 1 | 3 ± 0 | 0.2 |
Inotropic score 24 h post-procedure | 0 ± 1 | 1 ± 1 | 0.6 |
BUN upon arrival to CTICU (mg/dL) | 10 ± 4 | 10 ± 4 | 0.9 |
BUN 24 h post-procedure (mg/dL) | 15 ± 5 | 14 ± 4 | 0.5 |
Creatinine upon arrival to CTICU (mg/dL) | 0.3 ± 0.1 | 0.3 ± 0.1 | 0.4 |
Creatinine 24 h post-procedure (mg/dL) | 0.3 ± 0.1 | 0.3 ± 0.1 | 0.5 |
Platelets upon arrival to CTICU (× 103/µL) | 158 ± 43 | 187 ± 84 | 0.2 |
Fibrinogen upon arrival to CTICU (mg/dL) | 138 ± 32 | 154 ± 49 | 0.3 |
Lactate upon arrival to CTICU (mmol/L) | 1.7 ± 0.4 | 1.6 ± 0.5 | 0.5 |
Glucose upon arrival to CTICU (mg/dL) | 184 ± 51 | 181 ± 40 | 0.8 |
Reintubation (n) | 0 | 0 | 1.000 |
Cardiac arrest (n) | 0 | 0 | 1.000 |
Arrhythmia (n) | 1a | 1b | 1.000 |
Seizure (n) | 0 | 0 | 1.000 |
CTICU PRBCs (number ) (mL/kg) | 1 (7) | 3 (12 ± 5) | 0.1 |
CTICU platelets (number ) (mL/kg) | 3 (11 ± 2) | 0 | 0.08 |
CTICU cryoprecipitate (number ) (mL/kg) | 3 (5 ± 4) | 0 | 0.1 |
CTICU plasma (number ) (mL/kg) | 3 (12 ± 3) | 0 | 0.1 |