Bilateral and Unilateral Use of Internal Thoracic Artery for Myocardial Revascularization

Knapik, Piotr; Spyt, T J; Richardson, James B.; McLellan, Ian

doi:10.1378/chest.109.5.1231

Cited by 14 publications

(11 citation statements)

References 13 publications

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“…Walthall and Ray (2002) did not find any important difference between the extubation time and the CPB time. The findings of Knapik et al (1996) are coherent with others: the length of the CPB had no significant effect on the tracheal extubation time after CABG. However, some studies showed that the CPB is significant to the extubation time when the length of the CPB is longer.…”

Section: New Trends and Issues Proceedings Onsupporting

confidence: 86%

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Intraoperative variables associated with extubation time in patients undergoing open heart surgery

İbrahimoğlu¹

2017

PROSOC

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Decreasing mechanical ventilation and early extubation in patients has many clinical benefits. Hence, an awareness of some variables, associated with extubation time can help nurses to plan convenient care aimed at making a safe and early extubation. The purpose of this study was to investigate whether any intraoperative variables had a significant effect on extubation time following open heart surgery. The research was conducted on 60 open heart surgery patients who met inclusion criteria between April 2014 and November 2014 in a cardiac and vasculer surgery clinic of university hospital in Istanbul, Turkey. The data were collected by using a "Questionnaire Form" which includes some intraoperative variables (type of surgery, the number of grafts, the duration of time of the cardiopulmonary bypass, aortic crossclamping, total operation time, and the extubation time). The data was analyzed by descriptive and analytical methods. Type of the surgery procedure was 40 (66%) patients were CABG, 10 (16,6%) were valvuler surgery, 6 (10%) were ASD/VSD primer repair and 4 (3,3%) were Bentall procedure. Extubation was achieved for 60 patients in a mean time of 8.33±1.99 h. 18,3% (11) of the patients were extubated in ≤6 h and 81,7% (49) of them were extubated in >6 h after surgery, classifying them into the early and delayed extubation groups, respectively. On statistical analysis, the duration of the cardiopulmonary bypass (CPB) and aortic cross-clamping were found to have a significant effect on the extubation time.This study revealed that the duration of the cardiopulmonary bypass and aortic cross-clamping might play a role in the extubation time. Therefore, it is recommended that nurses consider this in their assessment of extubation as a shorter cardiopulmonary bypass time and aortic cross-clamping time might lead to earlier extubation.

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Section: New Trends and Issues Proceedings Onsupporting

confidence: 86%

“…In contrast, in some studies it was found no significant differences between the time of extubation and the length of cross-clamping of the aorta Knapik, Spyt, Richardson & McLellan, 1996). But, a different methodology was used in these studies.…”

Section: New Trends and Issues Proceedings Onmentioning

confidence: 88%

Intraoperative variables associated with extubation time in patients undergoing open heart surgery

İbrahimoğlu¹

2017

PROSOC

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“…Walthall and Ray (2002) did not find any significant difference between the extubation time and the CPB time. The findings of Knapik et al . (1996) are consistent with others: the length of the CPB had no significant effect on the tracheal extubation timing after a CABG.…”

Section: Discussionmentioning

confidence: 91%

“…In contrast, there were two studies that found no significant differences between the time of extubation and the length of cross‐clamping of the aorta (Cheng et al ., 1996; Knapik, Spyt, Richardson & McLellan, 1996). However, a different methodology was used in these studies.…”

Section: Discussionmentioning

confidence: 99%

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Intraoperative variables associated with extubation time in patients undergoing coronary artery bypass graft surgery

Imanipour

Bassampoor

Nasrabadi

2008

Japan Journal Nursing Sci

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Aim: Decreasing mechanical ventilation and early extubation in patients has many clinical and financial benefits. Therefore, an awareness of some variables those are associated with extubation time can help nurses to plan appropriate care aimed at doing an early and safe extubation. In this study, we identified whether any intraoperative variables had a significant effect on the extubation time following coronary artery bypass graft surgery. Methods: The research was conducted in a university-affiliated hospital in Tehran, Iran. In this crosssectional study, the data were collected by reviewing 93 files of eligible patients who had undergone coronary artery bypass graft surgery between December 2004 and March 2006. The data collection tool was a checklist consisting of some intraoperative variables: the number of grafts, the duration of time of the cardiopulmonary bypass and aortic cross-clamping, the use of the internal mammary artery, and the extubation time as the dependent variable. The data were analyzed by descriptive and analytical methods. Results: Extubation was achieved for 93 patients in a mean time of 7.19 Ϯ 3.00 h: 43% of the patients were extubated in Յ6 h and 57% of them were extubated in >6 h after surgery, classifying them into the early and delayed extubation groups, respectively. On statistical analysis, the duration of the aortic cross-clamping was found to have a significant effect on the extubation time. Conclusion: This study revealed that the duration of the aortic cross-clamping might play a role in the extubation time. Therefore, it is recommended that nurses consider this in their assessment of extubation as a shorter aortic cross-clamping time might lead to earlier extubation.

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Bilateral Versus Unilateral Internal Thoracic Artery in Coronary Bypass Grafting

Berreklouw

Arterial Grafting for Coronary Artery Bypass Surgery

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Bilateral and Unilateral Use of Internal Thoracic Artery for Myocardial Revascularization

Cited by 14 publications

References 13 publications

Intraoperative variables associated with extubation time in patients undergoing open heart surgery

Intraoperative variables associated with extubation time in patients undergoing open heart surgery

Intraoperative variables associated with extubation time in patients undergoing coronary artery bypass graft surgery

Bilateral Versus Unilateral Internal Thoracic Artery in Coronary Bypass Grafting

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