Publications by authors named "Jane L Salvaggio"
Risk Factors for Longer Hospital Stay Following the Fontan Operation.
Pediatr Crit Care Med
May 2016
Article Synopsis
- This study examined risk factors for prolonged hospital stays in children undergoing the Fontan operation for a functional single ventricle over a 15-year period.
- Preoperative indicators such as higher hemoglobin levels, increased pulmonary artery pressure, and lower aortic saturation were linked to longer hospital stays, with hemoglobin and saturation remaining significant even after excluding certain patient groups.
- Ultimately, the findings suggest that while most patients had stays under two weeks, specific preoperative and operative factors can lead to increased complications and extended recovery times.
Our programmatic approach to the Fontan operation has evolved to include using an extracardiac conduit with aggressive presumptive treatment of associated lesions either in the catheterization laboratory or the operating room. Fenestration is used selectively based on hemodynamics, anatomy, and presence of associated lesions. We reviewed our experience to determine the effectiveness and outcome of this strategy and to assess the cumulative trauma to the patients.
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