{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T10:30:03Z","timestamp":1779013803840,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Early extubation is performed either in the operating room or in the cardiovascular intensive care unit during the first 24 postoperative hours; however, altitude might possibly affect the process. The aim of this study is the evaluation of early extubation feasibility of patients undergoing congenital heart surgery in a center located at 2,691 m (8,828 ft.) above sea level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>Patients undergoing congenital heart surgery, from August 2012 through December 2018, were considered for early extubation. The following variables were recorded: weight, serum lactate, presence or not of Down syndrome, optimal oxygenation and acid\u2013base status according to individual physiological condition (biventricular or univentricular), age, bypass time, and ventricular function. Standardized anesthetic management with dexmedetomidine\u2013fentanyl\u2013rocuronium and sevoflurane was used. If extubation in the operating room was considered, 0.08 mL\/kg of 0.5% ropivacaine was injected into the parasternal intercostal spaces bilaterally before closing the sternum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Four hundred seventy-eight patients were operated and 81% were early extubated. Mean pre- and postoperative SaO\n                      <jats:sub>2<\/jats:sub>\n                      was 92% and 98%; postoperative SaO\n                      <jats:sub>2<\/jats:sub>\n                      for Glenn and Fontan procedures patients was 82% and 91%, respectively. Seventy-three percent of patients who underwent Glenn procedure, 89% of those who underwent Fontan procedure (all nonfenestrated), and 85% with Down syndrome were extubated in the operating room. Reintubation rate in early extubated patients was 3.6%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Early extubation is feasible, with low reintubation rates, at 2,691 m (8,828 ft.) above sea level, even in patients with single ventricle physiology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501351211003013","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T05:11:35Z","timestamp":1626671495000},"page":"473-479","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Early Extubation in a Pediatric Cardiac Surgery Program Located at High Altitude"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1708-5381","authenticated-orcid":false,"given":"Orlando Jos\u00e9","family":"Tamariz-Cruz","sequence":"first","affiliation":[{"name":"Cardiovascular Surgery Division, Instituto Nacional de Pediatr\u00eda, Centro Pedi\u00e1trico del Coraz\u00f3n ABC\u2014Kardias, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6633-1051","authenticated-orcid":false,"given":"Luis Antonio","family":"Garc\u00eda-Ben\u00edtez","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Division, Instituto Nacional de Pediatr\u00eda, Centro Pedi\u00e1trico del Coraz\u00f3n ABC\u2014Kardias, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hector","family":"D\u00edliz-Nava","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Division, Instituto Nacional de Pediatr\u00eda, Centro Pedi\u00e1trico del Coraz\u00f3n ABC\u2014Kardias, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipa","family":"Acosta-Gardu\u00f1o","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Division, Instituto Nacional de Pediatr\u00eda, Centro Pedi\u00e1trico del Coraz\u00f3n ABC\u2014Kardias, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcela","family":"Barrera-Fuentes","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Division, Instituto Nacional de Pediatr\u00eda, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Hern\u00e1ndez-Beltr\u00e1n","sequence":"additional","affiliation":[{"name":"Pediatric Cardiac Intensive Care Unit, Centro Pedi\u00e1trico del Coraz\u00f3n ABC\u2014Kardias, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Motta","sequence":"additional","affiliation":[{"name":"Pediatric Cardiovascular Anesthesia Department, Texas Children\u2019s Hospital, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Palacios-Macedo","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Division, Instituto Nacional de Pediatr\u00eda, Centro Pedi\u00e1trico del Coraz\u00f3n ABC\u2014Kardias, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"bibr1-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.9.245"},{"key":"bibr2-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(97)70187-9"},{"key":"bibr3-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61872-3"},{"key":"bibr4-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/56.10.1101"},{"key":"bibr5-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001877"},{"key":"bibr6-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1177\/2150135120926978"},{"key":"bibr7-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2015.12.015"},{"issue":"1","key":"bibr8-21501351211003013","first-page":"1","volume":"9","author":"Ortiz-Prado E","year":"2019","journal-title":"Am J Blood Res"},{"key":"bibr9-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2010.01088.x"},{"key":"bibr10-21501351211003013","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9784.62930"},{"key":"bibr11-21501351211003013","doi-asserted-by":"publisher","DOI":"10.4103\/0970-9185.137267"},{"key":"bibr12-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.119064"},{"key":"bibr13-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2004.03.027"},{"key":"bibr14-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.03.071"},{"key":"bibr15-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.06.093"},{"key":"bibr16-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.ppedcard.2016.12.001"},{"key":"bibr17-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2016.06.017"},{"key":"bibr18-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.113.000764"},{"key":"bibr19-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3245"},{"issue":"2","key":"bibr20-21501351211003013","first-page":"148","volume":"52","author":"P\u00e9rez-Padilla R","year":"2000","journal-title":"Rev Invest Clin"},{"issue":"6","key":"bibr21-21501351211003013","first-page":"366","volume":"67","author":"Gochicoa-Rangel L","year":"2015","journal-title":"Rev Invest Clin"},{"key":"bibr22-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000498"},{"key":"bibr23-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31821cd236"},{"key":"bibr24-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1177\/2150135111425065"},{"issue":"4","key":"bibr25-21501351211003013","first-page":"425","volume":"75","author":"Calder\u00f3n-Colmenero J","year":"2005","journal-title":"Arch Cardiol Mex"},{"key":"bibr26-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.02.010"},{"key":"bibr27-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.05.047"},{"key":"bibr28-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-018-1986-5"},{"key":"bibr29-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2014.03.021"},{"key":"bibr30-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1177\/2150135119862607"},{"key":"bibr31-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)90388-3"},{"key":"bibr32-21501351211003013","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.12.073"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351211003013","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351211003013","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351211003013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:23:47Z","timestamp":1777591427000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351211003013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/21501351211003013"],"URL":"https:\/\/doi.org\/10.1177\/21501351211003013","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}