Ultra-fast extubation following cardiac surgery improves hemodynamic stability and reduces ICU workload.

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 (n = 224), patients were stratified into ORE and ICUE groups. Primary outcomes included hemodynamic stability assessed via the simplified acute physiology score (SAPS) and ICU workload measured by the Therapeutic Intervention Sc

SUBMITTER: Angiuli V 

PROVIDER: S-EPMC12682788 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature