Ultra-fast-track anesthetic technique facilitates operating room extubation in patients undergoing off-pump coronary revascularization surgery

Djaiani, George; Ali, Mohamed; Heinrich, Lee; Bruce, Jay; Carroll, Jo; Karski, Jacek; Cusimano, Robert J.; Cheng, Davy

doi:10.1053/jcan.2001.21936

Cited by 87 publications

(43 citation statements)

References 23 publications

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“…Inadequate analgesia increases morbidity through adverse effects on haemodynamics, metabolism, immunology and haemostasis. 29 There is also the need for effective cough and deep breathing as a means to prevent atelectasis and decrease pneumonia. By hindering these, pain can be detrimental to weaning from mechanical ventilation in the post operative period.…”

Section: Pain Management Of the Ftca Patientmentioning

confidence: 99%

Fast-Track Cardiac Anaesthesia at a Tertiary Care Cardiac Centre in Nepal

et al. 2014

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Section: Pain Management Of the Ftca Patientmentioning

confidence: 99%

Fast-Track Cardiac Anaesthesia at a Tertiary Care Cardiac Centre in Nepal

et al. 2014

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“…(41) There are several studies on outcome after extubation in the operation room, which show that it is feasible with good results. (42,43) However, the nadir of ventricular function occurs about 4 hours following cardiopulmonary bypass. Also, the first few hours after cardiac surgery are characterized by periods of haemodynamic instability, temperature dysregulation, increased mediastinal blood loss and other homeostatic disturbances.…”

Section: Atrial Fibrillationmentioning

confidence: 99%

Early Postoperative Care After Cardiac Surgery

Roekaerts¹,

Heijmans²

2012

Perioperative Considerations in Cardiac Surgery

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“…Today, debates about the optimal time of extubaion after heart surgery are still ongoing (Roekaerts & Heijmans, 2012). Despite the fact that studies show that extubation in the operating room is well done, rapid changes in hemodynamic instability, changes in body temperature, mediastinal blood and fluid loss and other hemostatic disorders are expected in the first few hours postoperatively (Lee & Jacobsohn, 2000;Djaiani et al, 2001;Roekaerts & Heijmans, 2012, Rodriguez-Blanco et al, 2012, Garg et al, 2014Hamilton et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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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Ultra-fast-track anesthetic technique facilitates operating room extubation in patients undergoing off-pump coronary revascularization surgery

Cited by 87 publications

References 23 publications

Fast-Track Cardiac Anaesthesia at a Tertiary Care Cardiac Centre in Nepal

Fast-Track Cardiac Anaesthesia at a Tertiary Care Cardiac Centre in Nepal

Early Postoperative Care After Cardiac Surgery

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

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