ALERT!

This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

Operating Room Extubation for Patients Undergoing Cardiac Surgery: A National Society of Thoracic Surgeons Database Analysis

Thursday, August 22, 2024

Submitted by

Joel Dunning

Source

Source Name: The Annals of Thoracic Surgery

Source URL: https://www.annalsthoracicsurgery.org/article/S0003-4975(24)00462-4/abstract

Author(s)

Nicholas R. Teman, Raymond J. Strobel, Levi N. Bonnell, Ourania Preventza, Leora T. Yarboro, Vinay Badhwar, Tsuyoshi Kaneko, Robert H. Habib, J. Hunter Mehaffey, Jared P. Beller

The utility of operating room extubation (ORE) after cardiac surgery over fast-track extubation (FTE) within 6 hours remains contested. The authors hypothesized ORE would be associated with equivalent rates of morbidity and mortality, relative to FTE. They found that ORE was associated with similar or improved outcomes compared to FTE. The study covering 669,099 patients across 1,069 hospitals revealed that ORE had lower postoperative mortality rates for coronary artery bypass grafting, aortic valve replacement, and mitral valve replacement. These findings suggest that ORE can be safe and potentially beneficial, indicating a need for further research to optimize patient selection and explore the benefits of ORE through randomized trials.