In operating room extubation after cardiac surgery is associated with decreased incidence of in hospital new postoperative atrial fibrillation.

J Clin Anesth

Department of Anesthesiology, Perioperative Care and Pain Medicine, NYU Langone Health, 550 First Avenue, New York, NY 10016, USA. Electronic address:

Published: December 2024

AI Article Synopsis

  • This study investigates the risks and benefits of extubating patients in the operating room (OR) after cardiac surgery.
  • The research involved analyzing data from 726 cardiac surgical patients, with 303 (42%) extubated in the OR, focusing on their postoperative outcomes.
  • Findings suggest that in-OR extubation is linked to shorter hospital stays and a lower chance of developing new postoperative atrial fibrillation, without impacting other complications.

Article Abstract

Objectives: This study aims to characterize the risks and benefits of in-OR extubation after cardiac surgery.

Design: This is a retrospective chart review.

Setting: Single tertiary care hospital.

Participants: Cardiac surgical patients >18 years. Exclusion criteria included patients extubated after 6 h in the ICU, those with a history of congenital heart disease (CHD), those intubated prior to arrival to the OR, procedures including circulatory arrest and/or selective cerebral perfusion, cardiothoracic transplantation, and intraoperative death. De-identified data was collected via the hospital's electronic medical record.

Interventions: None.

Measurements And Main Results: Perioperative data was collected for 726 patients, of which 303 (42 %) were extubated in the OR. Multivariable regression models were derived with covariates based on expert clinical reasoning. When compared to fast track extubation, in-OR extubation was independently associated with decreased index hospitalization length of stay (-1.74, 95 % CI [-2.22, -1.08], p < 0.001) and decreased incidence of in-hospital new post-operative atrial fibrillation (OR 0.56 95 % CI [0.37, 0.86], p < 0.01). There were no differences in persistent vasoactive therapy requirement, postoperative mechanical circulatory support or extubation failure.

Conclusions: In-OR extubation is associated with decreased index hospitalization length of stay and decreased new onset in-hospital atrial fibrillation.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jclinane.2024.111636DOI Listing

Publication Analysis

Top Keywords

extubation cardiac
8
associated decreased
8
in-or extubation
8
data collected
8
operating room
4
extubation
4
room extubation
4
cardiac surgery
4
surgery associated
4
decreased incidence
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!