{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:41:44Z","timestamp":1747183304550,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Early extubation after cardiac surgery shortens paediatric intensive care unit (PICU) length of stay (LOS) and decreases complications from mechanical ventilation (MV). We explored the duration of MV in Scandinavian paediatric heart centres.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the MV duration and PICU LOS of 696 children operated for atrial septal defect (ASD), ventricular septal defect (VSD), tetralogy of Fallot (TOF) or total cavopulmonary connection (TCPC) in four Scandinavian centres in 2015\u20132016. Neonates (<jats:italic>n<\/jats:italic>\u00a0=\u00a090) were included regardless of heart surgery type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with ASD were extubated at a median of 3.25\u00a0h (interquartile range [IQR] 2.00\u20134.83), followed by patients with TCPC (median 5.00\u00a0h, IQR 2.60\u201316.83), VSD (median 7.00\u00a0h, IQR 3.69\u201322.25) and TOF (median 18.08\u00a0h, IQR 6.00\u201341.38). Neonates were not extubated early (median 94.42\u00a0h, IQR 45.03\u2013138.14). Although MV durations were reflected in PICU LOS, this was not as apparent among those extubated within 12\u00a0h. The Swedish centres had shortest MV durations and PICU LOS. Extubation failed in 24\/696 (3.4%) of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Scandinavian paediatric heart centres differed in the duration of postoperative MV. Deferring extubation up to 12\u00a0h postoperatively did not markedly prolong PICU LOS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16244","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T12:48:56Z","timestamp":1641300536000},"page":"859-865","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A retrospective analysis of the duration of mechanical ventilation in Scandinavian paediatric heart centres"],"prefix":"10.1111","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5556-2399","authenticated-orcid":false,"given":"Tapio","family":"Koski","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care New Children's Hospital University of Helsinki and Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heli","family":"Salmi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care New Children's Hospital University of Helsinki and Helsinki University Hospital  Helsinki Finland"},{"name":"Paediatric Research Centre University of Helsinki and Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juho","family":"Keski\u2010Nisula","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care New Children's Hospital University of Helsinki and Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders","family":"Bille","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Rigshospitalet Juliane Marie Centre  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Einar","family":"Bj\u00f6rnsson","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Queen Silvia's Children's Hospital Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casper","family":"Jessen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Oslo University Hospital  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronnie","family":"Forstholm","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesia and Intensive Care Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitja","family":"L\u00e4\u00e4peri","sequence":"additional","affiliation":[{"name":"Paediatric Research Centre University of Helsinki and Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Rautiainen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care New Children's Hospital University of Helsinki and Helsinki University 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