Related Experiment Videos
Overnight intensive recovery: elective open aortic surgery without a routine ICU bed
C J Callaghan1, A G Lynch, I Amin
1Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK.
Summary
Overnight intensive recovery (OIR) is a safe strategy for most patients undergoing elective open aortic surgery. This approach allows for theater extubation and recovery before ward discharge, reducing intensive care unit (ICU) admissions.
Area of Science:
- Cardiovascular Surgery
- Anesthesiology
- Critical Care Medicine
Background:
- Most patients require intensive care unit (ICU) management post-elective open aortic surgery.
- Overnight intensive recovery (OIR) involves extubation in the operating theatre and recovery in the theatre recovery unit before ward discharge.
Purpose of the Study:
- To investigate the safety and efficacy of overnight intensive recovery (OIR) for select patients undergoing elective open aortic surgery (EOAS).
Main Methods:
- Retrospective analysis of EOAS patients from 1998-2002.
- Comparison of observed morbidity and mortality with predicted outcomes using POSSUM and Portsmouth-POSSUM scores.
- Division of patients into OIR and elective ICU admission groups.
Main Results:
- 152 patients were managed with OIR; 155 underwent abdominal aortic aneurysm (AAA) repair.
- The OIR group experienced low complication rates (85/152) and mortality (2/152).
- No excess morbidity or mortality was observed in the OIR group compared to predictions.
Conclusions:
- Overnight intensive recovery (OIR) is a safe and viable management strategy for the majority of patients undergoing elective open aortic surgery.
- OIR can potentially reduce the need for elective ICU admissions.