Early extubation does not increase complication rates after coronary artery bypass graft surgery with cardiopulmonary bypass

• Type: Article in International Scientific Journal
• Date: 2002

Authors

Reis, J (Author) Other; Mota, JC (Author) Other; Ponce, P (Author) Other; Costa Pereira, A (Author) FMUP; Guerreiro, M (Author) Other

Journal

Title: European Journal of Cardio-thoracic Surgery

Vol. 21

Pages: 1026-1030

ISSN: 1010-7940

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 42 Citations

Scopus - 54 Citations

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

Other information

Authenticus ID: P-000-P4A

DOI: 10.1016/s1010-7940(02)00121-5

Abstract (EN): Background: With the evolution of anesthesia and surgical procedure,,, fast track extubation has, gained an increased interest, mainly based on the possibility of reducing health costs seemingly without compromising patient care. Aim: To compare two group, of patients submitted to a non-fast track extubation and a fast track extubation protocol after coronary cardiopulmonary bypass. regarding their times of ventilation and intubation and their complication rates in the postoperative period. Methods: During the year of 1998, 323 sequential patients scheduled for isolated coronary artery by pass graft surgery with cardiopulmonary h pass were enrolled in the study. Fifty-rime patients were excluded due to preoperative use of emergent mechanical and/or inotropic hemodynamic support, low body mass index (less than or equal to18-20 kg/m(2)). reoperations for acute surgical complications, off-pulp coronary artery bypass graft surgery severe respiratory disease, recent myocardial infarction (less than or equal to7 days) and absence of relevant data. Previous myocardial infarction (greater than or equal to7 days), prophylactic intraaortic balloon pump and use of postoperative vasoactive drugs were not exclusion criteria. We compared 76 patients sequentially submitted to anesthesia by one of the authors with a fast track extubation protocol and 188 patients sequentially submitted 10 anesthesia by others in the same period and using a conventional anesthetic protocol. Results: Demographic data, previous medical and cardiac history, preoperative medication and operative data were all similar between the two groups. The mean ventilation and intubation times were significantly shorter in the fast track extubation group than in the non-fast track extubation patients (30 min vs. 7 h and 50 min vs. 8 h, respectively). Forty-two percent of patients in the fast track extubation group were extubated on arrival at the intensive care unit, Morbidity and mortality were similar in both groups. Conclusions: The study shocks that a er last track extubation protocol may be safely implemented in patients submitted to coronary artery bypass graft surgery with cardiopulmonary bypass.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 5