Immediate Extubation following Glenn Procedure for Single Ventricle Physiology: A Report of Three Cases

Grace G. Catalan

Department of Anesthesiology, College of Medicine and
Philippine General Hospital, University of the Philippines Manila

Postoperative mechanical ventilation after complex congenital cardiac surgery is still routine practice. Published reports on immediate extubation (in the operating room or <6 hours after surgery) appear safe and resulted in shorter intensive care unit and hospital stay. We present three cases of immediate extubation following a Glenn procedure in pediatric patients with single ventricle physiology. Our goal is to describe the successful surgical and anesthetic management and the potential benefits without increasing morbidity and mortality.

Key Words: congenital heart disease, Glenn procedure, pediatric, anesthesia, endotracheal exturbation