• J. Cardiothorac. Vasc. Anesth. · Jun 2005

    Clinical Trial

    Routine immediate extubation after off-pump coronary artery bypass surgery: 514 consecutive patients.

    • Jeffrey L Horswell, Morley A Herbert, Syma L Prince, and Michael J Mack.
    • Cardiopulmonary Research Science and Technology Institute, Dallas, TX 75230, USA. horswell@swbell.net
    • J. Cardiothorac. Vasc. Anesth. 2005 Jun 1; 19 (3): 282-7.

    ObjectiveThe purpose of this study was to evaluate the feasibility of routine immediate extubation in patients undergoing off-pump coronary artery bypass surgery.DesignCase series.SettingPrivate hospital.ParticipantsFive 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.InterventionPatients received general anesthesia or general anesthesia plus thoracic epidural analgesia (25%) and underwent off-pump coronary bypass surgery.Measurements And Main ResultsAll 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.ConclusionsRoutine immediate extubation of most off-pump coronary artery bypass patients appears feasible and most probably safe.

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