PMID: 9187998Jun 1, 1997Paper

Respiratory outcomes with early extubation after coronary artery bypass surgery

Journal of Cardiothoracic and Vascular Anesthesia
D JohnsonI Mayers

Abstract

Aortocoronary bypass surgery has undergone recent changes, promoting the concept of "fast tracking," in which patients are extubated and discharged postoperatively at an accelerated pace compared with previous historic patterns. Postoperative respiratory function and complications have not been previously studied in patients selected for "fast tracking." Matched retrospective cohort study. Referral university teaching hospital. Thirty-one patients who were compared with a retrospective matched cohort of 112 patients. Matching was based on forced vital capacity, age, and gender. Respiratory physiological outcomes defined as pneumonia, postoperative pulmonary spirometry, chest x-ray atelectasis or lobar collapse, and gas exchange were compared. The increase in atelectasis score compared with preoperative (0 = no atelectasis, 4 = lobar collapse) was higher (p < 0.01) on the day of extubation in the late extubation group (4.1 +/- 1.4) compared with the early extubation group (2.6 +/- 1.3). These chest radiographic findings were not related to pain (0 to 10 visual analog scalei, which were equivalent between groups (4.0 +/- 2.3 v 4.2 +/- 1.6). The decreases in spirometry on postoperative day 5 (FVC 1.15 +/- 0.42 v 0.86 +/- 0.54 lite...Continue Reading

References

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Citations

May 9, 2006·European Journal of Anaesthesiology·L RoedigerM Lamy
Jun 5, 1999·Anesthesia and Analgesia·C Weissman
Feb 9, 2002·Journal of Cardiac Surgery·M C MoonD F Del Rizzo
Nov 21, 2007·Critical Care Nursing Clinics of North America·Anita Anthony, Sue Sendelbach
Jan 24, 2006·Journal of Cardiac Surgery·Franziska H BernetHans-Reinhard Zerkowski
Mar 3, 2004·The Annals of Thoracic Surgery·Ulrich GullerEric D Peterson
Jan 22, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Johannes F H UbbenJan U Schreiber
Mar 24, 2016·Journal of Anaesthesiology, Clinical Pharmacology·Manish MardaHarihara Dash
Sep 1, 1999·Journal of Cardiothoracic and Vascular Anesthesia·S L LarsonB K Foy
Sep 18, 2004·Seminars in Cardiothoracic and Vascular Anesthesia·Charles Weissman
May 12, 2015·Critical Care Medicine·R Scott Stephens, Glenn J R Whitman

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