Related Experiment Video

Updated: Jun 18, 2025

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
04:55

Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model

Published on: May 26, 2023

761

Early extubation after pediatric cardiac surgery

Shu Qi Tham1,2, Evangeline H L Lim1,2

  • 1Department of Pediatric Anesthesia, KK Women's and Children's Hospital, Singapore, Singapore.

Anesthesia and Pain Medicine
|July 29, 2024
PubMed

Insights

Early extubation after pediatric cardiac surgery, often within 6-8 hours, is regaining favor. This review explores the benefits, challenges, and implementation of early and immediate extubation strategies.

Area of Science:

  • Pediatric Cardiac Surgery
  • Anesthesiology
  • Critical Care Medicine

Background:

  • Early extubation was initially practiced, then declined with opioid-heavy anesthesia.
  • It has resurfaced as part of enhanced recovery after surgery protocols.
  • The definition of early extubation is typically within 6-8 hours post-surgery.

Purpose of the Study:

  • To review the benefits and pitfalls of early and immediate extubation in pediatric cardiac surgery.
  • To identify factors influencing the success of early extubation.
  • To propose guidelines for the practice and implementation of early extubation.

Main Methods:

  • Literature review examining early and immediate extubation in pediatric cardiac surgery.
  • Analysis of factors affecting successful extubation.
  • Discussion of current practices and potential guidelines.

Main Results:

  • Early extubation (within 6-8 hours) is increasingly considered.
  • The trend is shifting towards immediate extubation in the operating room.
  • Factors influencing success and potential implementation guidelines are discussed.

Conclusions:

  • Early and immediate extubation offer potential benefits in pediatric cardiac surgery recovery.
  • Careful consideration of influencing factors is crucial for successful implementation.
  • Further guidelines are needed to standardize practice.

Keywords:
Airway extubationAnesthesia, cardiac proceduresEnhanced recovery after surgeryPediatric anesthesiaPostoperative care

More Related Videos

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

631
Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.5K

Related Concept Videos

Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
524
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
549
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.0K
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
335
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
145
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
195