Optimizing timing of early extubation in coronary artery bypass surgery patients

Konstantakos, Anastasios K.; Lee, Jai H.

doi:10.1016/s0003-4975(00)01248-0

Cited by 49 publications

(50 citation statements)

References 11 publications

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“…However, some studies showed that the CPB is significant to the extubation time when the length of the CPB is longer. Supporting this, Konstantakos and Lee (2000) found successful early extubation is possible in ≤4 h, which was achieved in patients with short CPB times.…”

Section: New Trends and Issues Proceedings Onmentioning

confidence: 64%

“…The results illustrated that the duration of CPB and aortic cross-clamping had a significant effect on the extubation timing after a open heart surgery, with a longer CPB and aortic cross-clamping time causing a longer intubation time. Konstantakos and Lee (2000) found that patients extubated in <4 h had a shorter aortic crossclamping time (49.4±15.0 vs 53.5±14.0 min, P<0.05). Hence, some intraoperative variables might have Ibrahimoglu, O.…”

Section: Discussionmentioning

confidence: 89%

“…It is necessary that practitioners and nurses who extubate patients after open heart surgery be conscious of intraoperative events and how these might affect tracheal extubation time in order to make safe decisions (Konstantakos & Lee, 2000;Walthall & Ray, 2002).…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, Konstantakos and Lee (2000) reported no significant relationship between the number of graft vessels and the duration of extubation in their studies.…”

Section: New Trends and Issues Proceedings Onmentioning

confidence: 90%

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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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Section: New Trends and Issues Proceedings Onmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

“…Similarly, Konstantakos and Lee (2000) reported no significant relationship between the number of graft vessels and the duration of extubation in their studies.…”

Section: New Trends and Issues Proceedings Onmentioning

confidence: 90%

See 2 more Smart Citations

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

İbrahimoğlu¹

2017

PROSOC

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“…Some research findings reveal that increased age > 70 years is associated with PMV (8,19,(65)(66)(67). In contrast, recent research findings reveal that the outcome of CABG surgery has progressively improved despite increased numbers of elderly patients and worsened preoperative risk profiles over the past few decades, and increased age is not associated with PMV (1, 2, 7, 12).…”

Section: Prevalence and Risk Factorsmentioning

confidence: 99%

Cardiopulmonary Predicators of Dysfunctional Ventilator Weaning Response after Coronary Artery Bypass Graft

Mary¹

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Guidelines for Perioperative Care in Cardiac Surgery

et al. 2019

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nhanced Recovery After Surgery (ERAS) is a multimodal, transdisciplinary care improvement initiative to promote recovery of patients undergoing surgery throughout their entire perioperative journey. 1 These programs aim to reduce complications and promote an earlier return to normal activities. 2,3 The ERAS protocols have been associated with a reduction in overall complications and length of stay of up to 50% compared with conventional perioperative patient management in populations having noncardiac surgery. 4-6 Evidence-based ERAS protocols have been published across multiple surgical specialties. 1 In early studies, the ERAS approach showed promise in cardiac surgery (CS); however, evidence-based protocols have yet to emerge. 7 To address the need for evidence-based ERAS protocols, we formed a registered nonprofit organization (ERAS Cardiac Society) to use an evidence-driven process to develop recommendations for pathways to optimize patient care in CS contexts through collaborative discovery, analysis, expert consensus, and best practices. The ERAS Cardiac Society has a formal collaborative agreement with the ERAS Society. This article reports the first expert-consensus review of evidence-based CS ERAS practices. Methods We followed the 2011 Institute of Medicine Standards for Developing Trustworthy Clinical Practice Guidelines, using a standardized algorithm that included experts, key questions, subject champions, systematic literature reviews, selection and appraisal of evidence quality, and development of clear consensus recommendations. 8 We minimized repetition of existing guidelines and consensus statements and focused on specific information in the framework of ERAS protocols.

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Optimizing timing of early extubation in coronary artery bypass surgery patients

Cited by 49 publications

References 11 publications

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

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

Cardiopulmonary Predicators of Dysfunctional Ventilator Weaning Response after Coronary Artery Bypass Graft

Guidelines for Perioperative Care in Cardiac Surgery

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