• Amir Abbas Kianfar, Zargham Hossein Ahmadi, Seyed Mohsen Mirhossein, Hamidreza Jamaati, Babak Sharif Kashani, Seyed Amir Mohajerani, Ehsan Firoozi, Farshid Salehi, Golnar Radmand, and Seyed Mohammadreza Hashemian.
• Lung Transplantation Research Center, National Research of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
• Int J Crit Illn Inj Sci. 2015 Apr 1;5(2):89-92.

BackgroundHeart transplant surgeries using cardiopulmonary bypass (CPB) typically requires mechanical ventilation in intensive care units (ICU) in post-operation period. Ultra fast-track extubation (UFE) have been described in patients undergoing various cardiac surgeries.AimTo determine the possibility of ultra-fast-track extubation instead of late extubation in post heart transplant patients.Materials And MethodsPatients randomly assigned into two groups; Ultra fast-track extubation (UFE) group was defined by extubation inside operating room right after surgery. Late extubation group was defined by patients who were not extubated in operating room and transferred to post operation cardiac care unit (CCU) to extubate.ResultsThe mean cardiopulmonary bypass time was 136.8 ± 25.7 minutes in ultra-fast extubation and 145.3 ± 29.8 minutes in late extubation patients (P > 0.05). Mechanical ventilation duration (days) was 0 days in ultra-fast and 2.31 ± 1.8 days in late extubation. Length of ICU stay was significantly higher in late extubation group (4.2 ± 1.2 days) than the UFE group (1.72 ± 1.5 days) (P = 0.02). In survival analysis there was no significant difference between ultra-fast and late extubation groups (Log-rank test, P = 0.9).ConclusionsPatients undergoing cardiac transplant could be managed with "ultra-fast-track extubation", without increased morbidity and mortality.

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