Introduction:
The Fontan procedure, currently, has been considered as the best choice
for children with single ventricle physiology for separating the
pulmonary and systemic circulations and establishing anear-normal
systemic oxygen saturation (1). In the last decades, advances in
surgical techniques and in postoperative patient careled to a decrease
in postoperative mortality and morbidity (2,3). Prolonged intensive care
unit (ICU) and lenght of hospital stays (LOHS) are frequently
encountered. However, stil there is no consensus regarding the
prevention and treatment of prolonged drainage. There have been several
reported protocols to reduce prolonged pleural drainage and hospital
stay (4-6). The use of a standardized treatment protocol could directly
affect the length of hospital stay. However, the data on this subject
was insufficient. For this purpose, we wanted to contribute to the
literature by revealing the results of the modified Wisconsin protocol
that we started to use in our clinic at July 2018. Our primary aim was
to determine the effect of the protocol on the duration of drainage and
hospital stay. Our secondary aim was to determine parameters affecting
prolonged drainage after the Fontan procedure.