TABLE 1.
n = 53 | |
---|---|
Preoperative variables | |
Boys n (%) | 33 (62) |
Gestational age at birth, median [IQR], week | 38.0 [36.4–39.4] |
Born premature (<37 weeks) | 17 (32) |
Birth weight, median [IQR], kg | 2.9 [2.3–3.1] |
Esophageal atresia type A, n (%) | 2 (4) |
Esophageal atresia type C n (%) | 47 (89) |
Esophageal atresia type D n (%) | 1 (2) |
Esophageal atresia type E n (%) | 3 (6) |
Surgical approach | |
Open surgical approach n (%) | 15 (28) |
Thoracoscopic surgical approach n (%) | 36 (68) |
Converted thoracoscopic to open n (%) | 2 (4) |
Minor/non hemodynamic cardiac anomaly n (%)a | 33 (62) |
Major cardiac anomaly n (%)b | 2 (3.8) |
Preoperative lung problems n (%)c | 21 (40) |
Atelectasis n (%) | 9 (17) |
Pneumothorax n (%) | 4 (8) |
Lung hypoplasia n (%) | 2 (4) |
IRDS n (%) | 2 (4) |
Other n (%) | 4 (8) |
Preoperative respiratory support n (%) | 21 (39) |
Preoperative endotracheal intubation n (%) | 6 (11) |
Preoperative oxygen n (%) | 15 (28) |
Weight at time of surgery, median [IQR], kg | 3.0 [2.4–3.3] |
Patients from another hospital, n (%) | 6 (11%) |
Intraoperative variables | |
Duration of surgery, median [IQR], min | 150 [126–191] |
Highest heart rate, median [IQR], bpm | 153 [140–165] |
Highest MAP during surgery, median [IQR], mmHg | 61 [49–72] |
Lowest MAP during surgery, median [IQR], mmHg | 29 [25–33] |
Lowest pH, median [IQR], (n = 35) | 7.20 [7.09–7.29] |
PaO2 [IQR] n = 35 | 12.5 [8.15–17.0] |
Highest paCO2 [IQR], n = 35 | 8.50 [6.38–12.70] |
Postoperative variables | |
Time in ICU, median [IQR], days | 7.0 [3–13] |
Time in hospital, median [IQR], days | 16.0 [11–32] |
Postoperative endotracheal intubation, median [IQR], days | 1.0 [1–2] |
Number of esophageal dilatations, median [IQR] | 0 [0–3] |
Number of surgeries first 3 years, median [IQR] | 3.0 [2.0–6.0] |
Minor cardiac anomalies/cardiac anomalies without hemodynamic consequences: open foramen ovale (OFO) 7 patients; open ductus Botalli (ODB) 3 patients; OFO + ODB 13 patients; ventricular septum defect (VSD) 5 patients; pulmonary artery stenosis + atrial septum defect type 2 (ASD2) + OFO + right atrial and right ventricular dilatation 1 patient; mitral valve insufficiency + OFO + ODB 1 patient; dextroposition of the heart 1 patient; OFO + ASD2 1 patient; VSD + OFO + ODB 1 patient. Minor cardiac anomalies are not included in the univariable or multivariable linear regression analysis.
Major cardiac anomalies were defined according to Hoffman. One patient with dextroposition of the heart with atrium septum defect (ASD) and open ductus (ODB). One patient with dextroposition of the heart with pulmonary veins ending in the sinus coronaries, ASD, ODB, ventricular septum defect.
Diagnosed with x‐thorax. Others: atelectasis + pneumothorax 1 patient; wet lung 2 patients; hyperinflation of the lung 1 patient.
This is a subgroup of patients reported previously.13