Tỷ lệ rút nội khí quản trước 24 giờ của bệnh nhi sau phẫu thuật tim bẩm sinh và các yếu tố liên quan

To determine the rate of early extubation of pediatric congenital heart surgery at Children’s Hospital 1 and related factors. Method: Cross-sectional study from 1st December 2020 to 30th June 2021 on pediatric patients undergoning open-heart surgery at Children’s Hospital 1. Patients were divided into 2 groups: Group I – extubation before 24 hours, Group II – continue mechanical ventilation after 24 hours. Multivariate regression analysis of variables identified as related to extubation before 24 hours. Results: Total 230 patients were included in this study. The median duration of mechanical ventilation was 11.3 hours and the rate of early extubation after pediatric congenital heart surgery was 63.9%. None of the neonates were extubated before 24 hours. Age  8.5 months, weight  6.5 kg, no preoperative mechanical ventilation, RACHS-1 < 3, bypass time  95 minutes, no postoperative bleeding and vasoactive-inotropic score  10 was considered to be related with early extubation after multivariate analysis. Conclusion: Majority of children can be extubated early after open-heart surgery. Should early extubation for children age  8.5 months, weight  6.5 kg, no preoperative mechanical ventilation, RACHS-1 < 3, bypass time  95 minutes, no postoperative bleeding and vasoactive-inotropic score  10.