Do intraoperative variables have an effect on the timing of tracheal extubation after coronary artery bypass graft surgery?

Walthall, Helen; Ray, Stephen

doi:10.1067/mhl.2002.129446

Cited by 13 publications

(23 citation statements)

References 30 publications

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“…But, they explained that this could be related to the sample size (n=52), with a mean CPB time of 74.3 min. 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.…”

Section: New Trends and Issues Proceedings Onmentioning

confidence: 79%

“…It is necessary that practitioners and nurses who extubate patients after open heart surgery be conscious of intraoperative events and how these might affect tracheal extubation time in order to make safe decisions (Konstantakos & Lee, 2000;Walthall & Ray, 2002).…”

Section: Resultsmentioning

confidence: 99%

“…4(2), pp 237-244. Available from: www.prosoc.eu are suitable for early extubation will help nurses plan appropriate care aimed at safely reducing the lenght of syat in intensive care unit and the cost associated with intubation and mechanical ventilation (Doering et al, 1998;Branca, 2001;Walthall & Ray, 2002;Imanipour et al, 2008).…”

Section: New Trends and Issues Proceedings On Humanities And Social Smentioning

confidence: 99%

“…Also, after CPB, higher endothelin-1 levels were found in patients. Endothelin-1 is an endothelium-derived peptide that exerts strong vasoconstriction actions that are associated with an increase in the incidence of pulmonary edema and reperfusion injury of the lungs (Walthall & Ray, 2002;Imanipour et al, 2008). Cox et al (2000) investigated whether the CPB time can affect pulmonary gas exchange.…”

Section: New Trends and Issues Proceedings Onmentioning

confidence: 99%

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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 Onmentioning

confidence: 79%

Section: Resultsmentioning

confidence: 99%

Section: New Trends and Issues Proceedings On Humanities And Social Smentioning

confidence: 99%

Section: New Trends and Issues Proceedings Onmentioning

confidence: 99%

See 2 more Smart Citations

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

İbrahimoğlu¹

2017

PROSOC

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“…7 however, some researches did not found significant differences in hospital stay of patients with early and delayed extubation and some have found significant benefits of early extubation over prolonged extubation. 8,9 Despite many efforts of early extubation, many patients after cardiac surgery failed to extubate early due to several risk factors. 10 Recognition of these risk factors of delayed extubation after cardiac surgery may help us to manage ICU resources in a better way.…”

Section: Introductionmentioning

confidence: 99%

Cardaic Surgery; Risk Factors of Delayed Extubation

Hashmi

2017

TPMJ

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ABSTRACT… Objectives:To identify the risk factors of delayed extubation after cardiac surgery. Study Design: Observational study. Setting: Cardiac surgery in CPE Institute of Cardiology. Period: 2 months from November-2016 to March-2017. Methods: Eighty-one (81) patients who underwent cardiac surgery. In ICU we recorded extubation time of all patients. Patients with extubation time <6 hours after labelled as early extubation group and those with extubation time >6 hours were labelled as delayed extubation group. We recorded their preoperative risk factors and operative variables of surgery to identify the risk factors that leads to late extubation after cardiac surgery (CS). Results: Prevalence of diabetes was significantly high in patients with delayed extubation. There were 42.3% diabetic patients with delayed extubation and only 12.7% diabetic patients with early extubation (p-value 0.003). Total pump time, cross clamp time and type of operation were similar between the groups. Cardiovascular instability was the most common cause of delayed extubation that occurred in 9 patients, reduced level of consciousness in 9 patients, post-op bleeding in 6 patients, while hypoxemia and increased respiratory rate occurred in 1, 1 patient respectively. Conclusion: Diabetes Mellitus is an independent risk factor of delayed extubation after cardiac surgery. Cardiovascular instability, reduced level of consciousness and post-operative bleeding after surgery are the main factors that leads to delayed extubation after CS.

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