Immediate Extubation in the Operating Room Following Pediatric Liver Transplantation: A Retrospective Cohort Study

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dc.authoridKavakli, Ali Sait/0000-0001-5263-7183
dc.authoridŞahin, Taylan/0000-0002-9888-6625
dc.authorwosidsahin, taylan/IWD-9406-2023
dc.authorwosidKavakli, Ali Sait/L-5699-2016
dc.authorwosidŞahin, Taylan/AAT-4038-2020
dc.contributor.authorSahin, Taylan
dc.contributor.authorYaman, Ayhan
dc.contributor.authorKavakli, Ali Sait
dc.contributor.authorEren, Eryigit
dc.contributor.authorDinckan, Ayhan
dc.date.accessioned2024-05-19T14:50:33Z
dc.date.available2024-05-19T14:50:33Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground. Although immediate extubation in the operating room following pediatric liver transplantation can be safe and beneficial for select patients, many surgeons and anesthesiologists are still cautious. The study aimed to evaluate the safety and efficiency of immediate extubation in the operating room following pediatric liver transplantation.Methods. Sixty-four pediatric liver transplant recipients were included in this retrospective study. Patients were divided into 2 groups: immediate extubation (IE) (those who were extubated in the operating room) and delayed extubation (DE) (those who were extubated in the intensive care unit). Preoperative, intraoperative, and postoperative variables were recorded.Results. Although a total of 19 (29.7%) patients were extubated in the pediatric intensive care unit (group DE), 45 (70.3%) were extubated in the operating room at the end of surgery (group IE). The use of fresh frozen plasma and platelets was statistically higher in group DE (P = .017 and P = .002, respectively). Duration of anesthesia and length of stay in the pediatric intensive care unit was statistically longer in group DE (P = .020 and P = .0001, respectively). Three (15.8%) patients required reintubation in group DE and 2 (4.4%) in group IE. Hospital stay was statistically longer in group DE (P = .012).Conclusions. The current study demonstrated that immediate extubation in the operating room after surgery for pediatric patients who have undergone liver transplantation was safe. The duration of anesthesia and the intraoperative use of blood products such as platelet and fresh frozen plasma can effectively decide immediate extubation.en_US
dc.identifier.doi10.1016/j.transproceed.2023.01.035
dc.identifier.endpage1175en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue5en_US
dc.identifier.pmid37105832en_US
dc.identifier.scopus2-s2.0-85153596608en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1171en_US
dc.identifier.urihttps://doi.org10.1016/j.transproceed.2023.01.035
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5743
dc.identifier.volume55en_US
dc.identifier.wosWOS:001037004300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectTracheal Extubationen_US
dc.titleImmediate Extubation in the Operating Room Following Pediatric Liver Transplantation: A Retrospective Cohort Studyen_US
dc.typeArticleen_US

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