Routine immediate extubation after cardiac operation: a review of our first 100 patients

Royse, Colin; Royse, Alistair; Soeding, Paul

doi:10.1016/s0003-4975(99)00829-2

Cited by 79 publications

(50 citation statements)

References 19 publications

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“…Royse CF et al 18 demonstrated that general anesthesia combined with thoracic epidural anesthesia, allowing immediate extubation and longer duration of post-operative analgesia in patients undergoing cardiac surgeries. In our study, postoperative pain relief was superior and cardiac recovery stay was shorter in the TTE group compared to other group as well.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of oral tapentadol with thoracic epidural analgesia versus intravenous tramadol and paracetamol combination for postoperative analgesia in off pump CABG

Shah

Jaishree

Bhavsar

2013

Int J Basic Clin Pharmacol

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Section: Discussionmentioning

confidence: 99%

A comparative study of oral tapentadol with thoracic epidural analgesia versus intravenous tramadol and paracetamol combination for postoperative analgesia in off pump CABG

Shah

Jaishree

Bhavsar

2013

Int J Basic Clin Pharmacol

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“…[8][9][10] More recently, a combination of modified anesthetic techniques, and advances in surgical procedures including myocardial protection and postoperative management has resulted in a marked decrease in postoperative intubation period. 11,12) Cheng, et al 13) demonstrated that early extubation could be performed safely and did not increase perioperative morbidity.…”

Section: Discussionmentioning

confidence: 99%

Predictive Risk Factors for Pulmonary Oxygen Transfer in Patients Undergoing Coronary Artery Bypass Grafting.

et al. 2001

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SUMMARYThe ratio of arterial oxygen tension to inspired oxygen fraction (PaO 2 / FiO 2 ) is a useful indicator for weaning patients from mechanical ventilation and a reliable predictor of pulmonary dysfunction after cardiac surgery. The aim of this study was to elucidate the patient characteristics and variables that affect the PaO 2 / FiO 2 ratio.Between 1994-1998, 167 patients who underwent coronary artery bypass grafting (CABG) were examined retrospectively. Spearman's correlation coefficients were calculated between the PaO 2 / FiO 2 ratio and intubation period, and length of ICU stay. Patients were then divided into two groups with a PaO 2 / FiO 2 ratio < 350 and PaO 2 / FiO 2 ratio ≥ 350. Univariate analysis of the putative risk factors was performed. A logistic regression model was developed to evaluate factors that would influence the PaO 2 / FiO 2 ratio.A significant correlation was observed between the PaO 2 / FiO 2 ratio and intubation period, and length of ICU stay. Univariate predictors of a PaO 2 / FiO 2 ratio < 350 were low body weight, low preoperative PaO 2 , long operation time, high FiO 2 , low postoperative PaO 2 , history of smoking, hypertension and opening of pleura (p < 0.05). Excellent prediction was found with a model consisting of preoperative PaO 2 and hypertension.Conclusion: The results of this study suggest that patients with a low preoperative PaO 2 or hypertension may need more careful peri-and postoperative management since these factors are closely associated with the PaO 2 / FiO 2 ratio. (Jpn Heart J 2001; 42: 143-153)

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“…The potential benefits of early extubation include cost savings, lowered nursing dependency, reduced airway and lung trauma, improved cardiac output and renal perfusion with spontaneous respiration. 8 Pulmonary function is preserved in patients receiving TEA, probably as a result of several factors, which include superior analgesia (allowing the patient to cooperate more fully with physiotherapy), the avoidance of parenteral opoids and their mood altering effects ,and the inhibition of bulbosplanchnic afferent nerve fibers. Maximal inspiratory lung volumes are approximately 30% larger in patients receiving TEA.…”

Section: Evaluation Of Pulmonary Function After Offpump Coronary Artementioning

confidence: 99%

Evaluation of Pulmonary Function after Off- Pump Coronary Artery Bypass Graft Surgery with Thoracic Epidural Analgesia.

et al. 2013

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Introduction:Coronary artery disease is the most common form of heart disease and the single most important cause of premature death in the developed world. 1 Surgical management of Ischaemic heart disease (IHD) is coronary artery bypass graft surgery (CABG), which can be performed either under cardiopulmonary bypass (CPB) or by using offpump technique. Impairment of pulmonary function after CABG is one of the most common complications in the early post-operative period. 2 Sternotomy, pleurotomy with opening of the pleural space, harvesting of internal mammary artery and pain may lead to deterioration of postoperative pulmonary function. In addition, the incidence of concurrent chronic lung disease is higher in the age group of patients who require revascularization of the myocardium. Combined these two factors indicate a need for documentation of pulmonary function pre-and postoperatively. .3Coronary revascularization procedure is done usually through median sternotomy incision and for this; impairment of pulmonary function is one of the most significant post-operative complication of CABG. 4 For revascularization, emphasis is given over internal mammary artery (IMA) graft. The mediastinum and thoracic cavity are traumatized more with IMA than with reverse saphenous

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Routine immediate extubation after cardiac operation: a review of our first 100 patients

Cited by 79 publications

References 19 publications

A comparative study of oral tapentadol with thoracic epidural analgesia versus intravenous tramadol and paracetamol combination for postoperative analgesia in off pump CABG

A comparative study of oral tapentadol with thoracic epidural analgesia versus intravenous tramadol and paracetamol combination for postoperative analgesia in off pump CABG

Predictive Risk Factors for Pulmonary Oxygen Transfer in Patients Undergoing Coronary Artery Bypass Grafting.

Evaluation of Pulmonary Function after Off- Pump Coronary Artery Bypass Graft Surgery with Thoracic Epidural Analgesia.

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