• Critical care clinics · Oct 2020

    Review

    Early Extubation in Enhanced Recovery from Cardiac Surgery.

    • Ciana McCarthy and Nick Fletcher.
    • Guys and St Thomas Hospital, Westminster Bridge Road, London SE1 7EH, UK. Electronic address: cianamccarthy@gmail.com.
    • Crit Care Clin. 2020 Oct 1; 36 (4): 663-674.

    AbstractProlonged intubation and mechanical ventilation following cardiac surgery have been associated with increased hospital and intensive care unit length of stays; higher health care costs; and morbidity resulting from atelectasis, intrapulmonary shunting, and pneumonia. Early extubation was developed as a strategy in the 1990s to reduce the high-dose opiate regimes and long ventilator times. Early extubation is a key component of the enhanced recovery pathway following cardiac surgery and enables early mobilization and early return to a normal diet. The plan to extubate should start as soon as the patient is scheduled for cardiac surgery and continue throughout the perioperative period.Crown Copyright © 2020. Published by Elsevier Inc. All rights reserved.

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