Rates, Outcomes and Predictors of Immediate and Early Extubation After Pediatric Liver Transplantation.
Predictive model for early extubation after pediatric liver transplant showed good discrimination
Rates, Outcomes and Predictors of Immediate and Early Extubation After Pediatric Liver Transplantation.
Advances in perioperative care have made immediate intraoperative extubation (intraoperative extubation) and early extubation (early extubation) feasible and safe; however, evidence in pediatric liver transplantation remains limited, and standardized extubation criteria are lacking.
This study aimed to evaluate the incidence, outcomes, and predictors of successful intraoperative extubation/early extubation after pediatric liver transplantation at a high-volume North American center.
Undergoing combined liver-bowel transplantation, retransplantation, or liver autotransplantation were excluded.
the model reliably distinguished who would succeed with early extubation from who would not
Of 245 patients, 33 underwent intraoperative extubation and 110 underwent early extubation, with no cases of reintubation.
Over the study period, rates of intraoperative extubation and early extubation increased steadily.
The intraoperative extubation/early extubation cohort had significantly shorter intensive care unit and hospital lengths of stay compared to the DE group.
Intraoperative extubation/early extubation after pediatric liver transplantation is increasingly common and has been associated with a high degree of safety and favorable outcomes.
Recipient age, preoperative care setting, and intraoperative regional anesthesia are significant predictors of success.
Over 9 years, growing experience was associated with higher intraoperative extubation/early extubation rates, reduced intensive care unit stays, and shorter hospital length of stay, supporting earlier recovery and optimized resource utilization.