The Natural History of the Patients with Early Extubation in Cardiac Surgery Using Heart Lung Machine in Nakhonpathom Hospital
Abstract
Objective: Primary objective is to study the incidence of early extubation in cardiac surgery, using heart lung machine, at Nakhonpathom Hospital. Secondary objective is to compare the post-extubation sequelae after early and delay extubation.
Materials and methods: Retrospective review of 250 patients, who underwent cardiac surgeries, using heart lung machine, age > 18 years. Data review included demographic data, surgical and anesthetic information (included early and delay extubation) and post-extubation sequelae (included reintubation, complication, death and length of ICU and hospital stay).
Results: The incidence of early extubation in cardiac surgery, using heart lung machine was 50.8% (95 % CI 45-57 ). In delay extubation group, there were more statistical significant higher of age, more ASA physical status grade 4, more operative, anesthetic, cardiopulmonary bypass, and aortic cross clamp time. However, the weight was statistically significant lower. There was no statistical significant difference in reintubation rate between early and delay extubation groups. The median days of ICU and hospital stay complication and mortality rate were statistically significant lower in early extubation group.
Conclusion: The incidence of early extubation in cardiac surgery, using heart lung machine at Nakhonpathom Hospital was 50.8%. No significant difference of reintubation rate between early and delay extubation group. The early extubation could significantly reduce the length of ICU and hospital stays with less complications and death.
References
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
