• J. Cardiothorac. Vasc. Anesth. · Apr 1993

    The effect of a cardiac surgical recovery area on the timing of extubation.

    • J L Chong, C Grebenik, M Sinclair, A Fisher, R Pillai, and S Westaby.
    • Department of Anaesthesia, Oxford Heart Centre, John Radcliffe Hospital, Headington, England.
    • J. Cardiothorac. Vasc. Anesth. 1993 Apr 1; 7 (2): 137-41.

    AbstractThe anesthetic and postoperative management of cardiac surgical patients was modified to achieve an early return to spontaneous ventilation. A total of 278 patients were studied to determine the effect of this change. Patients in group I (n = 198) were managed in a cardiac surgical recovery area according to the new policy. Group II (n = 80) was a comparable group of patients operated upon before this change. The median duration of postoperative ventilation was reduced from 5 hours in group II to 1 hour in group I, and the time to extubation was reduced from 7 hours to 2 hours, respectively. There were no major postoperative complications resulting from this change. The factors that influence the duration of postoperative ventilation are discussed.

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