Why the study?
Is spontaneous ventilation and early extubation feasible and safe in patients undergoing cardiac surgery with inhalational anesthesia?
Population
100 consecutive patients undergoing various types of cardiac surgery with inhalational anesthesia
Design
Cohort
Follow-up
immediate postoperative period
Authors
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Supports feasibility of early extubation after cardiac surgery; leaves open whether RCTs confirm safety versus routine ventilation.
Is spontaneous ventilation and early extubation feasible and safe in patients undergoing cardiac surgery with inhalational anesthesia?
Spontaneous ventilation and early extubation are feasible and safe in the majority of patients following cardiac surgery with inhalational anesthesia, avoiding the need for routine postoperative mechanical ventilation.
Lichtenthal et al. (1983) studied this question.