Early extubation and early activity after open heart surgery

Goodwin, MJ; Bissett, Linda; Mason, Peter F.; Kates, Robert E.; Weber, J

doi:10.4037/ccn1999.19.5.18

Cited by 15 publications

(7 citation statements)

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“…There is a strong correlation between “intubation time” and “postoperative bleeding, readmission to the operating room, congestive heart failure, cardiac arrest, and hypotension” after the patient's condition has stabilized (Yousefshahi, Samadi, Paknejad, Bastan Hagh, & Aminzadeh, 2019). Hence, the reduction of intubation time would lead to reduced complications (Goodwin, Bissett, Mason, Kates, & Weber, 1999).…”

Section: Introductionmentioning

confidence: 99%

The effect of aromatherapy with rose and lavender on anxiety, surgical site pain, and extubation time after open‐heart surgery: A double‐center randomized controlled trial

Darzi

Vahedian‐Azimi

Ghasemi

et al. 2020

Phytotherapy Research

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To determine the effect of aromatherapy with rose and lavender on the patient outcomes after open-heart surgery (OHS). In the clinical trial, patients were randomized to four groups. One group received routine care, the placebo group received a cotton swab soaked in water and the other two groups received either a cotton swab containing three drops of rose or lavender essence (0.2 ml). A total of 160 patients were randomized into four groups. Intergroup anxiety was not significantly different; however, the reciprocal time-group effect was significant among the four groups. The extubation time was significant among the four groups which related to rose essence group compared with the control group (p < .001) and placebo group (p = .029). The surgical site pain was significant in the rose essence and lavender groups compared to the control group. Aromatherapy can reduce extubation time, surgical site pain severity, and anxiety in patients undergoing OHS

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Section: Introductionmentioning

confidence: 99%

The effect of aromatherapy with rose and lavender on anxiety, surgical site pain, and extubation time after open‐heart surgery: A double‐center randomized controlled trial

Darzi

Vahedian‐Azimi

Ghasemi

et al. 2020

Phytotherapy Research

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“…However, coronary artery bypass grafting with median thoracotomy is still the main surgical method for the treatment of severe and multiple coronary artery disease [1]. Surgery requires midline splitting of the sternum, a large incision and an indwelling drainage tube; thus, patients usually suffer from obvious postoperative pain [2]. Studies have shown that more than 80% of patients suffer from moderate to severe postoperative pain [3].…”

Section: Introductionmentioning

confidence: 99%

The effect of music therapy on pain, anxiety and depression in patients after coronary artery bypass grafting

Dai

Huang

et al. 2020

J Cardiothorac Surg

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Objective: The purpose of this study was to explore the effects of music therapy on pain, anxiety and depression in patients after coronary artery bypass grafting. Methods: A retrospective study of 99 patients after coronary artery bypass from January 2017 to January 2019 was conducted in a cardiac center in China. According to the different interventions, all the participants were divided into 3 groups: group A: music therapy; group B: rest without music therapy; and group C: conventional treatment. The Numerical Rating Scale (NRS), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to measure the patient's pain, anxiety and depression before and after 30 min of the intervention. Results: There were no significant differences in the NRS, SDS and SAS scores between the three groups of patients before the intervention. After 30 min of music therapy, the NRS, SDS and SAS scores of patients in group A were significantly lower than those before music therapy, and the differences were statistically significant. However, before and after the intervention in groups B and C, the NRS, SDS and SAS scores were not statistically significant. By comparison among the three groups after 30 min of intervention, the NRS, SDS and SAS scores in patients in group A were significantly lower than those in groups B and C, and the differences were statistically significant. The scores were not significantly different between groups B and C. Conclusion: Music therapy can effectively alleviate the pain, anxiety and depression of patients after coronary artery bypass grafting.

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“…However, there is significant variation in defining the term “early extubation” (Konstantakos & Lee, 2000; Walthall, Robson & Ray, 2001). Based on the reviewed literature, early extubation, at 6 h after cardiac surgery, was thought to be realistic (Goodwin, Bissett, Mason, Kates & Weber, 1999; Walthall & Ray) Some clinicians have shown that intubation can be safely limited to 4–8 h or even as short as 2 h (Doering et al ., 1998; Walthall, Robson & Ray).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, it has been shown that earlier endotracheal tube removal hastens the return of ciliary function and improves respiratory dynamics and coughing. In fact, it has been proposed that early extubation should decrease the incidence of nosocomial pneumonia (Doering, 1997; Goodwin et al ., 1999).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, early extubation would allow early ambulation, thereby reducing the risk of the complications associated with immobility, such as deep vein thrombophlebitis, pulmonary embolism, and pneumonia. An increase in patients' comfort and a decrease in the need for sedative medication could be achieved through early extubation (Cheng et al ., 1996; Goodwin et al ., 1999). It leads to patients returning to independence much more quickly owing to less overall time in the hospital (De, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Intraoperative variables associated with extubation time in patients undergoing coronary artery bypass graft surgery

Imanipour

Bassampoor

Nasrabadi

2008

Japan Journal Nursing Sci

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Aim: Decreasing mechanical ventilation and early extubation in patients has many clinical and financial benefits. Therefore, an awareness of some variables those are associated with extubation time can help nurses to plan appropriate care aimed at doing an early and safe extubation. In this study, we identified whether any intraoperative variables had a significant effect on the extubation time following coronary artery bypass graft surgery. Methods: The research was conducted in a university-affiliated hospital in Tehran, Iran. In this crosssectional study, the data were collected by reviewing 93 files of eligible patients who had undergone coronary artery bypass graft surgery between December 2004 and March 2006. The data collection tool was a checklist consisting of some intraoperative variables: the number of grafts, the duration of time of the cardiopulmonary bypass and aortic cross-clamping, the use of the internal mammary artery, and the extubation time as the dependent variable. The data were analyzed by descriptive and analytical methods. Results: Extubation was achieved for 93 patients in a mean time of 7.19 Ϯ 3.00 h: 43% of the patients were extubated in Յ6 h and 57% 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 aortic cross-clamping was found to have a significant effect on the extubation time. Conclusion: This study revealed that the duration of the 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 aortic cross-clamping time might lead to earlier extubation.

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Early extubation and early activity after open heart surgery

Cited by 15 publications

References 0 publications

The effect of aromatherapy with rose and lavender on anxiety, surgical site pain, and extubation time after open‐heart surgery: A double‐center randomized controlled trial

The effect of aromatherapy with rose and lavender on anxiety, surgical site pain, and extubation time after open‐heart surgery: A double‐center randomized controlled trial

The effect of music therapy on pain, anxiety and depression in patients after coronary artery bypass grafting

Intraoperative variables associated with extubation time in patients undergoing coronary artery bypass graft surgery

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