| Author/Editor | Šoštarič, Maja; Geršak, Borut; Novak-Janković, Vesna | |
| Title | Early extubation and fast-track anesthetic technique for endoscopic cardiac surgery | |
| Type | članek | |
| Source | Heart Surg Forum | |
| Vol. and No. | Letnik 13, št. 3 | |
| Publication year | 2010 | |
| Volume | str. E190-4 | |
| Language | eng | |
| Abstract | Objective: ln this retrospective study, we evaluated the fast-track recovery protocol for endoscopic Port Access (PA) (Edwards Lifesciences) hean procedures. We also determin ed which factors and variables are imponant for the success of immediate extubation at the end of the operation whiJe the patient is still in the operating room (OR).Methods: ln the study, we included 104 patients scheduled for PA heart surgery under cardioplegic arrest. All patients were marked before surgery for the fast-track recovery protocol. If the patients fuJfillcd the extubation criteria within 10 to 15 minutes after the end of operation, they were extubated in the OR (OR group); the others were transferred to the intensive care unit (lCD) (lCD group) and extubated later. The 2 groups were compared with respect to preoperative and intraoperative variables that could influence early extubation, posroperative complications, duration onCD stay, and hospital stay.Results: Seventy-eight patients (75%) were extubated in the OR. The patients from the OR group had signific:antly lower EuroSCOREs than the patients from the ICU group (P = .025). The variables of vital capaciry (P = .001) and forced expirawry volume in the first second (FEV1) (P < .001) were significantly higher preoperatively in the OR group than in the TeD group. There were no significant differences bet:ween the groups with respect to ino'aoperative characteristies. Postoperative complications we re fewer in the OR group. The mean duration of leD stay was significantly shoner in the OR group than in the TeD group (P < .001). Conclusions: Inm1ediate extubation in the OR after endoscopic cardiac procedures is safe and possible for the majoriry of patients. The preoperative patient characteristics of EuroSCORE, vital capacity, and FEV1 influence the success of ontable extubation. | |
| Descriptors | HEART SURGERY SURGERY, ENDOSCOPIC INTUBATION, INTRATRACHEAL ANESTHESIA, GENERAL OPERATING ROOMS RECOVERY ROOM PAIN, POSTOPERATIVE MONITORING, PHYSIOLOGIC POSTOPERATIVE COMPLICATIONS RETROSPECTIVE STUDIES |