Factors determining the duration of tracheal intubation in cardiac surgery: a single-centre sequential patient audit

Naughton, Corina; Reilly, N.; Powroznyk, A.; Aps, C.; Hunt, T.; Hunter, David N.; Parsons, R. S.; Sherry, E.; Spackman, D.; Wielogorski, A.; Feneck, R. O.

doi:10.1017/s0265021503000383

Cited by 12 publications

(11 citation statements)

References 263 publications

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“…Bispectral index monitoring did not affect the time to tracheal extubation of patients admitted to the ICU postoperatively. Time to tracheal extubation reflects illness severity rather than anaesthetic effect 19 , and times were longer in older patients with higher ASA scores having non-cardiac surgery. BIS monitoring during surgery therefore would not be expected to alter tracheal extubation time in ICU patients.…”

Section: Discussionmentioning

confidence: 99%

Recovery from Bispectral Index-guided Anaesthesia in a Large Randomized Controlled Trial of Patients at High Risk of Awareness

Leslie

Myles

Forbes

et al. 2005

Anaesth Intensive Care

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Electroencephalographic monitors of anaesthetic depth are reported to assist anaesthetists in reducing recovery times. We explored the effect of bispectral index (BIS) monitoring on recovery times in a double-blind, randomized controlled trial of 2,463 patients at high risk of awareness. Patients were randomized to BIS-guided anaesthesia or routine care. In the BIS group, anaesthesia was adjusted to maintain a BIS value of 40-60 from the commencement of laryngoscopy to the start of wound closure, and 55-70 during wound closure. In the routine care group, anaesthesia was adjusted according to traditional clinical signs. In multivariate models, BIS monitoring, female gender, lower American Society of Anesthesiologists' physical status and shorter duration of anaesthesia predicted faster time to eye-opening after anaesthesia, and faster time to post-anaesthesia care unit discharge. BIS monitoring did not affect times to tracheal extubation among patients admitted to the intensive care unit. We conclude that BIS monitoring has statistically significant, but clinically modest, effects on recovery times in high risk surgical patients.

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Section: Discussionmentioning

confidence: 99%

Recovery from Bispectral Index-guided Anaesthesia in a Large Randomized Controlled Trial of Patients at High Risk of Awareness

Leslie

Myles

Forbes

et al. 2005

Anaesth Intensive Care

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“…Although the impact on stays and costs is not universally reported [35,36], all studies show that early extubation in the first postoperative hours is well tolerated and does not increase respiratory complications. A recent Cochrane review [37 && ] evaluated the efficacy and safety of fast-track cardiac care in adults undergoing cardiac surgery, including early postsurgical extubation and the use of lowdose opiates in the general anesthesia.…”

Section: Early Extubationmentioning

confidence: 99%

Preventing and managing perioperative pulmonary complications following cardiac surgery

García-Delgado

Navarrete-Sánchez²,

Colmenero³

2014

Current Opinion in Anaesthesiology

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Postoperative pulmonary complications are common, but severe complications are infrequent. Their reduction requires measures to prevent infection and mechanical ventilation-associated lung injury through the use of low tidal volumes and early extubation. Noninvasive ventilation after extubation can be utilized to avoid reintubation and the associated increased morbidity and mortality. However, noninvasive ventilation should be done under rigorous conditions and by following strict criteria.

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“…(14) Innovative anesthesia techniques and surgical technical advances aim patients' extubation between four and six hours after surgery. Given that, fast-track weaning protocols have been increasingly used in anesthesia recovery and intensive care units.…”

Section: Cardiac Surgery Postoperative Period Respiratory Failurementioning

confidence: 99%

Lesão pulmonar e ventilação mecânica em cirurgia cardíaca: revisão

Rodrigues¹,

Oliveira²,

Soares³

et al. 2010

Rev. bras. ter. intensiva

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Factors determining the duration of tracheal intubation in cardiac surgery: a single-centre sequential patient audit

Cited by 12 publications

References 263 publications

Recovery from Bispectral Index-guided Anaesthesia in a Large Randomized Controlled Trial of Patients at High Risk of Awareness

Recovery from Bispectral Index-guided Anaesthesia in a Large Randomized Controlled Trial of Patients at High Risk of Awareness

Preventing and managing perioperative pulmonary complications following cardiac surgery

Lesão pulmonar e ventilação mecânica em cirurgia cardíaca: revisão

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