Why the study?
Does early extubation reduce length of stay and costs in patients undergoing cardiac surgery?
Does early extubation reduce length of stay and costs in patients undergoing cardiac surgery?
Early extubation after cardiac surgery is safe and reduces ICU and hospital length of stay, leading to significant cost savings.
May support early extubation protocols in cardiac surgery; leaves open prospective RCTs to confirm cost savings.
Extubation within a few hours of cardiac surgery is possible in the majority of patients and is not associated with an increased risk for perioperative complications. Duration of intubation is an important factor in overall postoperative length of stay, and when early extubation is instituted as part of a comprehensive clinical pathway, it contributes to significant reductions in both intensive care unit and hospital length of stay. In association with reductions in direct variable costs, these reductions in length of stay have been shown in several studies to significantly reduce overall cost or charge.
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Ghotbi et al. (1999) studied this question.
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