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

Article type: Research Article

Authors: Ednick, Mathew | Wong, Brenda | Inge, Thomas | Knue, Marianne | Kalra, Maninder

Affiliations: Department of Pediatric Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA | Department of Pediatric Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA | Department of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA

Note: [] Correspondence: Maninder Kalra, MD, MS, Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. Tel.: +1 513 636 6771; Fax: +1 513 636 4615; E-mail: [email protected]

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

Journal: Journal of Pediatric Neurology, vol. 6, no. 3, pp. 249-252, 2008