Early Extibation after Complete Repairment of Tetralogy of Fallot

Tetralogy of Fallot (TF) with prevalence ratio of 3.5 to 11% is one of the most common cyanotic heart disiease, especially after the infancy. It causes hypoxic cyanosis, blue spell and systemic thromboembolic events, and infections like brain abcess and endocarditis. These patients are usually treated medically and surgically. The ultimate goal of the surgical intervention is complete repairment. They are usually intubated 24 to 48 hours or more after the operation, intubation, especially if prolonged, causes various complicatios. Which could be reduced by shortening the lenght of the intubation period. Fifty TF operated patients were extubated four hours after entering ICU all of them were transferred to the ward without any need for for reintubation or any other complication the next day.