Yıl 2019, Cilt 9 , Sayı 4, Sayfalar 332 - 337 2019-12-31

Early Against Classic Extubation Outcomes Following Cardiac Surgery and Correlation With Rapid Shallow Breath Index

İbrahim MUNGAN [1] , Derya ADEMOGLU [2] , Hayriye CANKAR DAL [3] , Dilek KAZANCI [4] , Sema TURAN [5]


Abstract

Background/Aims:Overnight postoperative ventilation following cardiovascular surgery was a routine procedure since 1960 and the usage of high-dose opioid anesthetic techniques strengthens the need. However early extubation of postcardiac patients has been claimed as safer and more cost-effective approach. Rapid shallow breath index (RSBI) is used widely to standardize weaning from Mechanical ventilatory support (MVS) and to predict failure of attempt. The aim of this retrospective study was to determine the impact of early extubation on post-cardiovasular surgery patients and the possible correlations of RSBI values. 

Methods:This retrospective analysis was performed including 230 consecutive patients -who underwent cardiac surgery from September 2017 to January 2018 in a tertiary state hospital.

Results:There was significant difference between early extubated group and conventional group in the prevalence of comorbidities, duration of surgery, LOS in hospital and in the ICU. There was no significant difference between groups either in mechanical ventilation parameters including RSBI, mortality or morbidity.

Conclusions: Early extubation offers a substantial advantage in terms of accelerated recovery, shorter intensive care unit, and hospital stay, suggesting that efforts to reduce extubation times are cost-effective. Early Extubation following cardiac surgery can be managed in a successful manner and comparing to conventional practices it saves valuable hours of patients. RSBI, in the original cut-off point, was found useless as a weaning parameter while the threshold value for weaning failure was 31. 





cardiac surgery, early extubation
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Orcid: 0000-0003-0002-3643
Yazar: İbrahim MUNGAN (Sorumlu Yazar)
Kurum: ANKARA TÜRKİYE YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0002-4493-4353
Yazar: Derya ADEMOGLU
Kurum: ANKARA TÜRKİYE YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Ülke: Turkey


Orcid: 0000-0003-4744-9959
Yazar: Hayriye CANKAR DAL

Orcid: 0000-0002-8021-1451
Yazar: Dilek KAZANCI

Orcid: 0000-0003-2443-0390
Yazar: Sema TURAN

Tarihler

Yayımlanma Tarihi : 31 Aralık 2019

EndNote %0 Journal of Contemporary Medicine Early Against Classic Extubation Outcomes Following Cardiac Surgery and Correlation With Rapid Shallow Breath Index %A İbrahim MUNGAN , Derya ADEMOGLU , Hayriye CANKAR DAL , Dilek KAZANCI , Sema TURAN %T Early Against Classic Extubation Outcomes Following Cardiac Surgery and Correlation With Rapid Shallow Breath Index %D 2019 %J Journal of Contemporary Medicine %P -2667-7180 %V 9 %N 4 %R doi: 10.16899/jcm.626844 %U 10.16899/jcm.626844