ArticleTurk gogus kalp damar cerrahisi dergisi2026
Effect of ultra-fast-track cardiac anesthesia on vasoactive-inotropic support after coronary artery bypass grafting.
Article in Turk gogus kalp damar cerrahisi dergisi, 2026. 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
Background: Ultra-fast-track cardiac anesthesia (UFTCA) aims to promote rapid tracheal extubation and has increasingly been incorporated into enhanced recovery protocols after coronary artery bypass grafting (CABG). Nevertheless, its influence on early postoperative hemodynamic stability, particularly in terms of vasoactive-inotropic requirements, remains insufficiently defined. Methods: In this study with a prospective, randomized design, adult patients scheduled for elective isolated CABG were assigned in a 1:1 ratio to either immediate extubation in the operating theater (UFTCA group) or conventional extubation in the intensive care unit (ICU). All participants received standardized general anesthesia combined with ultrasound-guided thoracic paravertebral and femoral nerve blocks. The primary endpoint was the cumulative vasoactive-inotropic score (VIS) within the first 24 hours postoperatively. Secondary endpoints included ICU and hospital length of stay, time to mobilization, chest tube removal, postoperative pain, nausea and vomiting, delirium, and quality of recovery evaluated using the quality of recovery-15 (QoR-15). Results: Outcome analyses were performed on 98 randomized patients (60.2% male; mean age 63.1±8.4 years) with comparable baseline variables between groups. The UFTCA group demonstrated significantly lower 24-hour cumulative VIS values compared with the conventional extubation group (1.74±1.75 Conclusion: Immediate extubation using an UFTCA strategy was associated with reduced vasoactive-inotropic support requirements and improved early recovery metrics after CABG, without compromising safety.
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