ArticleFrontiers in cardiovascular medicine2025
Ultra-fast extubation following cardiac surgery improves hemodynamic stability and reduces ICU workload.
Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To address ICU capacity constraints, particularly during the COVID-19 pandemic, we implemented an ultrafast extubation (UFE) protocol involving operating room extubation (ORE) following on-pump cardiac surgery. We hypothesize that ORE is safe, improves postoperative outcomes, and reduces ICU workload compared with standard extubation in the ICU (ICUE). Methods: We retrospectively analyzed 397 adult patients who underwent on-pump cardiac surgery at a tertiary center between February and October 2021. Following propensity score matching ( Results: Patients extubated in the OR demonstrated significantly lower SAPS and TISS scores on admission and cumulatively during ICU treatment ( Conclusion: Ultrafast extubation after cardiac surgery appears to be a safe and effective strategy to reduce ICU workload and resource use without compromising patient outcomes. ORE may be a valuable component of enhanced recovery protocols in cardiac surgical care.
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