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Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft
Published on: September 15, 2023
Routine immediate extubation after off-pump coronary artery bypass surgery: 514 consecutive patients
Jeffrey L Horswell1, Morley A Herbert, Syma L Prince
1Cardiopulmonary Research Science and Technology Institute, Dallas, TX 75230, USA. horswell@swbell.net
Objective:
The purpose of this study was to evaluate the feasibility of routine immediate extubation in patients undergoing off-pump coronary artery bypass surgery.
Design:
Case series.
Setting:
Private hospital.
Participants:
Five hundred forty-eight consecutive patients undergoing off-pump coronary bypass surgery, representing 5 years of a single anesthesiologist's practice, were evaluated for routine immediate extubation. Thirty-four patients were excluded because they were already intubated, in preoperative cardiogenic shock, or converted to on-pump during the procedure.
Intervention:
Patients received general anesthesia or general anesthesia plus thoracic epidural analgesia (25%) and underwent off-pump coronary bypass surgery.
Measurements And Main Results:
All 514 patients who were intended to be immediately extubated were expeditiously extubated in the operating room. The numbers of reintubations, morbidity, and mortality were low.
Conclusions:
Routine immediate extubation of most off-pump coronary artery bypass patients appears feasible and most probably safe.
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