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

Figure 1.
Figure 1. Flow chart.
Figure 2.
Figure 2. Cytokines and hormones assays.
Figure 3.
Figure 3. Neuron-specific enolase (NSE) and S-100 protein beta chain (S100B).
Figure 4.
Figure 4. Bayley scores.
Figure 5.
Figure 5. Adaptive Behavior Assessment System, Second Edition (ABAS-II) scores.

Tables

Table 1. Patient Demographics
 
No DEX groupDEX groupP-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.
Number161416
Age (months), mean (SD)6 ± 26 ± 20.8
Weight (kg), mean (SD)7 ± 16 ± 10.4
Gender (female (F)/male (M))6/104/10
Diagnosis
  VSD57
  TOF96
  AVSD26

 

Table 2. OR Information
 
No DEX groupDEX groupP-value
CPB: cardiopulmonary bypass; DEX: dexmedetomidine; OR: operating room; PRBCs: packed red blood cells.
Number1614
CPB time (min)94 ± 25105 ± 860.6
Aortic cross clamp time (min)60 ± 2258 ± 420.9
OR packed RBCs (mL/kg)42 ±1746 ± 220.5
OR platelets (number) (mL/kg)(1) 15(2) 23 ± 120.2
OR cryoprecipitate (number) (mL/kg)(1) 2(2) 4 ± 10.2
OR plasma (number) (mL/kg)001.0
OR extubation (number)15130.9

 

Table 3. CTICU Information
 
No DEX groupDEX groupP-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 ± 718 ± 80.8
24 h urine output (mL/kg)51 ± 2047 ± 200.51
24 h fentanyl dose (µg/kg)17 ± 1218 ± 90.7
CTICU length of stay (days)2 ± 22 ± 10.7
Hospital length of stay (days)6 ± 26 ± 30.5
Inotropic score upon arrival to CTICU3 ± 13 ± 00.2
Inotropic score 24 h post-procedure0 ± 11 ± 10.6
BUN upon arrival to CTICU (mg/dL)10 ± 410 ± 40.9
BUN 24 h post-procedure (mg/dL)15 ± 514 ± 40.5
Creatinine upon arrival to CTICU (mg/dL)0.3 ± 0.10.3 ± 0.10.4
Creatinine 24 h post-procedure (mg/dL)0.3 ± 0.10.3 ± 0.10.5
Platelets upon arrival to CTICU (× 103/µL)158 ± 43187 ± 840.2
Fibrinogen upon arrival to CTICU (mg/dL)138 ± 32154 ± 490.3
Lactate upon arrival to CTICU (mmol/L)1.7 ± 0.41.6 ± 0.50.5
Glucose upon arrival to CTICU (mg/dL)184 ± 51181 ± 400.8
Reintubation (n)001.000
Cardiac arrest (n)001.000
Arrhythmia (n)1a1b1.000
Seizure (n)001.000
CTICU PRBCs (number ) (mL/kg)1 (7)3 (12 ± 5)0.1
CTICU platelets (number ) (mL/kg)3 (11 ± 2)00.08
CTICU cryoprecipitate (number ) (mL/kg)3 (5 ± 4)00.1
CTICU plasma (number ) (mL/kg)3 (12 ± 3)00.1