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Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether early extubation (EE) after cardiac surgery leads to a reduction in intensive care unit (ICU) length of stay (LOS)? A total of 564 papers were found using the reported search,...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9070463/ https://www.ncbi.nlm.nih.gov/pubmed/35143677 http://dx.doi.org/10.1093/icvts/ivac008 |
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author | Taylor, Marcus Apparau, Denish Mosca, Roberto Nwaejike, Nnamdi |
author_facet | Taylor, Marcus Apparau, Denish Mosca, Roberto Nwaejike, Nnamdi |
author_sort | Taylor, Marcus |
collection | PubMed |
description | A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether early extubation (EE) after cardiac surgery leads to a reduction in intensive care unit (ICU) length of stay (LOS)? A total of 564 papers were found using the reported search, of which 4 were randomized trials and hence represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. EE was defined as extubation in theatre (n = 2), within 6 h of surgery (n = 1) and within 8 h of surgery (n = 1). EE was associated with significantly reduced ICU LOS in all studies. Despite the Society of Thoracic Surgeons using extubation <6 h after surgery as a measure of quality, this study has demonstrated that no standardized definition for EE currently exists. The body of evidence identified in this work has demonstrated that for appropriately selected patients (avoiding patients with multiple comorbidities, advanced age and undergoing complex non-elective surgery) early tracheal extubation is associated with a reduction in ICU LOS without an increase in the rate of postoperative complications. |
format | Online Article Text |
id | pubmed-9070463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-90704632022-05-06 Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? Taylor, Marcus Apparau, Denish Mosca, Roberto Nwaejike, Nnamdi Interact Cardiovasc Thorac Surg Adult Cardiac A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether early extubation (EE) after cardiac surgery leads to a reduction in intensive care unit (ICU) length of stay (LOS)? A total of 564 papers were found using the reported search, of which 4 were randomized trials and hence represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. EE was defined as extubation in theatre (n = 2), within 6 h of surgery (n = 1) and within 8 h of surgery (n = 1). EE was associated with significantly reduced ICU LOS in all studies. Despite the Society of Thoracic Surgeons using extubation <6 h after surgery as a measure of quality, this study has demonstrated that no standardized definition for EE currently exists. The body of evidence identified in this work has demonstrated that for appropriately selected patients (avoiding patients with multiple comorbidities, advanced age and undergoing complex non-elective surgery) early tracheal extubation is associated with a reduction in ICU LOS without an increase in the rate of postoperative complications. Oxford University Press 2022-02-10 /pmc/articles/PMC9070463/ /pubmed/35143677 http://dx.doi.org/10.1093/icvts/ivac008 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Adult Cardiac Taylor, Marcus Apparau, Denish Mosca, Roberto Nwaejike, Nnamdi Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? |
title | Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? |
title_full | Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? |
title_fullStr | Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? |
title_full_unstemmed | Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? |
title_short | Does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? |
title_sort | does early extubation after cardiac surgery lead to a reduction in intensive care unit length of stay? |
topic | Adult Cardiac |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9070463/ https://www.ncbi.nlm.nih.gov/pubmed/35143677 http://dx.doi.org/10.1093/icvts/ivac008 |
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