Why the study?
Is immediate postoperative extubation safe in patients undergoing minimally invasive direct coronary artery surgery (MIDCAB)?
Is immediate postoperative extubation safe in patients undergoing minimally invasive direct coronary artery surgery (MIDCAB)?
Immediate postoperative extubation after MIDCAB is safe and feasible in the majority of patients, facilitating effective use of ICU resources.
Supports selective immediate extubation after MIDCAB; leaves open need for randomized confirmation before practice change.
We were interested whether immediate postoperative extubation and early discharge of the intensive care unit (ICU) is safe in minimally invasive direct coronary artery surgery (MIDCAB) patients. Therefore we retrospectively analyzed the data from 217 patients undergoing MIDCAB from 2/99 to 4/02. Immediate postoperative extubation was possible in 182/217 (83.9%) with eight patients needing reintubation (11.5+/-3.3 h). Ventilation time of the remaining 35 patients was less than 24 h in 31 patients (8.8+/-5.3). Sixty-nine patients (31.8%) were directly transferred from the ICU. Immediate extubation after MIDCAB surgery is safe resulting in an effective use of resources.
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S Fraund (2002) studied this question.
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