Routine operation theatre extubation after cardiac surgery in the elderly

Interactive Cardiovascular and Thoracic Surgery
Raul A BorracciMaria X Gambetta

Abstract

The aim was to analyse in-hospital outcomes of patients over 70 years of age undergoing routine immediate operation theatre (OT) extubation after on-pump or off-pump cardiac surgery. A retrospective analysis was performed of prospectively collected data over a 4-year period (2011-14) from elderly patients undergoing early extubation after cardiac surgery at a single institution. All patients over 70 years were considered eligible for immediate OT or intensive care unit (ICU) early extubation after meeting specific criteria. All types of non-emergency cardiac surgery were included. Cardiac surgical risk stratification was assessed with EuroSCORE II and age, creatinine level and left ventricular ejection fraction (ACEF) score. Among the 415 patients operated on during the period, 275 (66.3%) were ≥70 years old. One hundred and forty patients (50.9%) of the elderly group were extubated successfully in the OT. Excluding off-pump coronary surgery, OT extubation was achieved in 51.5% of cases. The rate of risk of reintubation within 24 h of surgery after OT extubation was 2.1%. The in-hospital mortality rate was 4.7%, and the complication rate was 11.6%, independently of extubation timing. Elderly patients extubated in the OT had a s...Continue Reading

References

Mar 1, 1997·The Annals of Thoracic Surgery·R A OttT M Tanner
Aug 26, 1998·Journal of Cardiothoracic and Vascular Anesthesia·J H LeeA S Geha
Oct 30, 1999·The Annals of Thoracic Surgery·C F RoyseP F Soeding
Apr 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S OxelbarkR Sanchez
Jun 6, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·J ReisM Guerreiro
Sep 10, 2003·Current Gastroenterology Reports·James S Wu, Victor W Fazio
Mar 3, 2004·The Annals of Thoracic Surgery·Ulrich GullerEric D Peterson
May 4, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Thomas M HemmerlingIgnatio Prieto
Jul 24, 2007·The Annals of Thoracic Surgery·Shekar L C ReddyAbbas Rashid
Jul 24, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Dmitri ChamchadScott M Goldman
Apr 14, 2012·Journal of Cardiac Surgery·Yiliam F Rodriguez BlancoEdward Gologorsky
Jul 25, 2012·Seminars in Cardiothoracic and Vascular Anesthesia·Breandan Lawrence Sullivan
Oct 9, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Imad M TleyjehLarry M Baddour
Sep 1, 2014·The Journal of Thoracic and Cardiovascular Surgery·Vinay BadhwarKathirvel Subramaniam
Feb 17, 2015·BMC Anesthesiology·Anna Mara ScandroglioAlberto Zangrillo

❮ Previous
Next ❯

Citations

Sep 7, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Anair BeverlyRichard D Urman
Aug 31, 2018·World Journal for Pediatric & Congenital Heart Surgery·Takeshi ShinkawaMichiaki Imamura
Oct 2, 2019·Journal of Cardiothoracic and Vascular Anesthesia·Alexander J GregoryJerrold H Levy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.