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Journal of Pediatric Neurology 2008; 06(03): 249-252
DOI: 10.1055/s-0035-1557467
Original Article
Georg Thieme Verlag KG Stuttgart – New York

Post-operative respiratory outcomes using a standard extubation protocol after elective gastrostomy tube placement in pediatric patients with spinal muscular atrophy type 1

Mathew Ednick
a   Department of Pediatric Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA
,
Brenda Wong
b   Department of Pediatric Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA
,
Thomas Inge
c   Department of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA
,
Marianne Knue
b   Department of Pediatric Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA
,
Maninder Kalra
a   Department of Pediatric Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA
› Author Affiliations
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Further Information

Publication History

19 February 2008

22 May 2008

Publication Date:
30 July 2015 (online)

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Abstract

Medical records of spinal muscular atrophy type 1 patients, who underwent elective laparoscopic Nissen fundoplication and gastrostomy tube insertion and extubation using a standardized clinical protocol, were retrospectively reviewed. All seven patients were successfully extubated using the protocol and discharged home on bi-level positive airway pressure without oxygen supplementation. There were no major respiratory complications in the post-operative period.

Keywords

SMA-1 - pulmonary complications - extubation protocol - laparoscopic Nissen fundoplication - gastrostomy tube insertion