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Routine Immediate Extubation After Off-Pump Coronary Artery Bypass Surgery: 514 Consecutive Patients

2005; Elsevier BV; Volume: 19; Issue: 3 Linguagem: Inglês

10.1053/j.jvca.2005.03.002

1532-8422

Jeffrey L. Horswell, Morley A. Herbert, Syma L. Prince, Michael J. Mack,

Cardiac, Anesthesia and Surgical Outcomes

The purpose of this study was to evaluate the feasibility of routine immediate extubation in patients undergoing off-pump coronary artery bypass surgery.Case series.Private hospital.Five hundred forty-eight consecutive patients undergoing off-pump coronary bypass surgery, representing 5 years of a single anesthesiologist's practice, were evaluated for routine immediate extubation. Thirty-four patients were excluded because they were already intubated, in preoperative cardiogenic shock, or converted to on-pump during the procedure.Patients received general anesthesia or general anesthesia plus thoracic epidural analgesia (25%) and underwent off-pump coronary bypass surgery.All 514 patients who were intended to be immediately extubated were expeditiously extubated in the operating room. The numbers of reintubations, morbidity, and mortality were low.Routine immediate extubation of most off-pump coronary artery bypass patients appears feasible and most probably safe.