Key result
An interdisciplinary project combining early extubation protocols with enhanced rounding initiatives significantly decreased length of stay and pulmonary complications after cardiac surgery.
Why the study?
Does an interdisciplinary early extubation protocol and enhanced rounding initiative reduce ventilation time and pulmonary complications in post-cardiac surgery patients?
Does an interdisciplinary early extubation protocol and enhanced rounding initiative reduce ventilation time and pulmonary complications in post-cardiac surgery patients?
Implementation of early extubation protocols and enhanced rounding by clinical nurse specialists can significantly reduce length of stay and pulmonary complications after cardiac surgery.
May support combined protocols to shorten stays and cut complications post-cardiac surgery; leaves open need for randomized confirmation.
Health care reform continues to focus on improving patient outcomes while reducing costs. Clinical nurse specialists (CNSs) should facilitate this process to ensure that best practice standards are used and patient safety is enhanced. One example of ensuring best practices and patient safety is early extubation after open heart surgery, which is a critical component of fast track protocols that reduces may reduce the development of pulmonary complications in the postoperative period while decreasing overall length of stay in the hospital. This project was an interdisciplinary endeavor, led by the CNS and nurse manager, which combined early extubation protocols with enhanced rounding initiatives to help decrease overall length of ventilation time as well as reduce pulmonary complications in patients in the cardiac surgery intensive care unit. The project resulted in a significant decrease in length of stay and a decrease in pulmonary complications in the postoperative period.
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Lisa M. Soltis (2015) studied Cardiac surgery. Early extubation protocols with enhanced rounding initiatives was evaluated on Length of stay and pulmonary complications. An interdisciplinary project combining early extubation protocols with enhanced rounding initiatives significantly decreased length of stay and pulmonary complications after cardiac surgery.
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