Journal of cardiothoracic and vascular anesthesia · 2005
Routine immediate extubation after off-pump coronary artery bypass surgery: 514 consecutive patients.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Horswell Jeffrey L, Herbert Morley A, Prince Syma L, Mack Michael J
Аннотация
OBJECTIVE: The purpose of this study was to evaluate the feasibility of routine immediate extubation in patients undergoing off-pump coronary artery bypass surgery.
DESIGN: Case series.
SETTING: Private hospital.
PARTICIPANTS: Five hundred forty-eight consecutive patients undergoing off-pump coronary bypass surgery, representing 5 years of a single anesthesiologist's practice, were evaluated for routine immediate extubation. Thirty-four patients were excluded because they were already intubated, in preoperative cardiogenic shock, or converted to on-pump during the procedure.
INTERVENTION: Patients received general anesthesia or general anesthesia plus thoracic epidural analgesia (25%) and underwent off-pump coronary bypass surgery.
MEASUREMENTS AND MAIN RESULTS: All 514 patients who were intended to be immediately extubated were expeditiously extubated in the operating room. The numbers of reintubations, morbidity, and mortality were low.
CONCLUSIONS: Routine immediate extubation of most off-pump coronary artery bypass patients appears feasible and most probably safe.
DESIGN: Case series.
SETTING: Private hospital.
PARTICIPANTS: Five hundred forty-eight consecutive patients undergoing off-pump coronary bypass surgery, representing 5 years of a single anesthesiologist's practice, were evaluated for routine immediate extubation. Thirty-four patients were excluded because they were already intubated, in preoperative cardiogenic shock, or converted to on-pump during the procedure.
INTERVENTION: Patients received general anesthesia or general anesthesia plus thoracic epidural analgesia (25%) and underwent off-pump coronary bypass surgery.
MEASUREMENTS AND MAIN RESULTS: All 514 patients who were intended to be immediately extubated were expeditiously extubated in the operating room. The numbers of reintubations, morbidity, and mortality were low.
CONCLUSIONS: Routine immediate extubation of most off-pump coronary artery bypass patients appears feasible and most probably safe.