Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

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.
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
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...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall - A Heart and Valve Collaboratory Document.

JACC. Cardiovascular interventions·2026
Same author

Redo-TAVR (TAV-in-TAV) Best Practices Part 2: Tall-in-Short and Tall-in-Tall - A Heart and Valve Collaboratory Document.

JACC. Cardiovascular interventions·2026
Same author

Left atrial appendage exclusion during open cardiac surgery in patients without atrial fibrillation reduces 4-year ischemic stroke and mortality.

JTCVS structural and endovascular·2026
Same author

Variation as a Symptom: What Hospital-Level TAVR Utilization Reveals About Lifetime Valve Planning.

The Annals of thoracic surgery·2026
Same author

The Legacy of the First Valve: Outcomes of Redo Surgical Aortic Valve Replacement After Prior Transcatheter Versus Prior Surgical Aortic Valve Replacement-A Narrative Review.

Journal of clinical medicine·2026
Same author

Right Anterior Thoracotomy Versus Partial Sternotomy for Isolated Aortic Valve Replacement: A Propensity Analysis of Clinical Outcomes and Hospital Costs.

Medicina (Kaunas, Lithuania)·2026

Related Experiment Video

Updated: May 31, 2026

A Structured Approach to Extubation in Mechanically Ventilated Rats
05:05

A Structured Approach to Extubation in Mechanically Ventilated Rats

Published on: July 18, 2025

Operating Room Extubation in Major Aortic Surgery: Policy Change Leading to Improved Recovery.

Dimitrios E Magouliotis1, Serge Sicouri1, Massimo Baudo1

  • 1Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Wynnewood, PA.

Journal of Cardiothoracic and Vascular Anesthesia
|May 29, 2026
PubMed
Summary

Operating room extubation in open aortic surgery significantly reduces intensive care unit (ICU) length of stay without impacting safety. This quality improvement intervention successfully established OR extubation as standard practice, improving patient recovery and ICU capacity.

Keywords:
aortic surgeryconventional extubationfast-track anesthesiaoperating room extubationquality improvement

Related Experiment Videos

Last Updated: May 31, 2026

A Structured Approach to Extubation in Mechanically Ventilated Rats
05:05

A Structured Approach to Extubation in Mechanically Ventilated Rats

Published on: July 18, 2025

Area of Science:

  • Cardiovascular Surgery
  • Quality Improvement Science
  • Critical Care Medicine

Background:

  • Enhanced recovery after surgery protocols aim for early patient liberation from mechanical ventilation.
  • Operating room (OR) extubation is a strategy to improve outcomes and resource utilization in cardiac surgery.
  • Establishing OR extubation as a default pathway can optimize patient recovery and intensive care unit (ICU) resource management.

Purpose of the Study:

  • To evaluate a quality-improvement intervention (QII) designed to implement OR extubation as the standard recovery pathway for open aortic surgery patients.
  • To assess the impact of the QII on prolonged ICU length of stay (LOS) and safety outcomes.
  • To determine the system-level adoption and scalability of OR extubation.

Main Methods:

  • Retrospective, single-center cohort study analyzing 658 adult patients undergoing open aortic surgery from 2014-2025.
  • A multidisciplinary QII utilizing plan-do-study-act cycles and Kotter's change management framework was implemented in 2020.
  • Patients were analyzed based on extubation pathway (OR vs. ICU) and pre- vs. post-intervention periods, with prolonged ICU stay defined as >124 hours or >72 hours.

Main Results:

  • OR extubation (29% of patients) was associated with significantly lower rates of prolonged ICU stay (>124 hours: 8% vs. 35%, p < 0.001) compared to ICU extubation (71%).
  • Following QII implementation, OR extubation rates increased from <5% to >50%, while prolonged ICU stay decreased from 33% to 19% (p < 0.001).
  • Median ICU LOS decreased from 96 to 65 hours (p < 0.001) with no significant differences in mortality or major complications.

Conclusions:

  • OR extubation is linked to reduced prolonged ICU utilization in open aortic surgery patients without compromising safety.
  • A structured quality-improvement framework facilitates durable, system-level adoption of OR extubation.
  • OR extubation presents a scalable strategy for enhancing patient recovery and optimizing ICU capacity.