Early extubation after coronary artery bypass graft surgery

Advanced care for patients after coronary artery bypass graft

“…One of the most important determinants to successful fast-tracking is ventilator management [5]. Discussion regarding early extubation versus late extubation and the impact on patients began appearing in literature in late 1970s and early 1980s [6][7][8]. An accepted definition of early extubation has been ''extubation of a patient who has undergone cardiac surgery within 8 hours after leaving the operating room'' [9,10].…”

Advanced care for patients after coronary artery bypass graft

“…One of the most important determinants to successful fast-tracking is ventilator management [5]. Discussion regarding early extubation versus late extubation and the impact on patients began appearing in literature in late 1970s and early 1980s [6][7][8]. An accepted definition of early extubation has been ''extubation of a patient who has undergone cardiac surgery within 8 hours after leaving the operating room'' [9,10].…”

ACC/AHA 2004 guideline update for coronary artery bypass graft surgery

“…Obesity and rare phrenic nerve injury may also play a role (508). Postoperatively, early extubation is desirable, appears safe, and does not increase postoperative cardiac or pulmonary morbidity, especially if the total bypass time is less than 100 minutes (509,510). However, longer periods of mechanical ventilatory support postoperatively may be necessary in patients who develop acute adult respiratory distress syndrome or who have evidence of severe pulmonary insufficiency postopera- tively.…”