Cardiac surgery is one of the longest type of surgery. Cardiac anesthesia utilizes heavy dose of opioids during an open-heart surgery since it requires three to six hours to commence. However, with all the opioids given intraoperatively, this requires a certain amount of time needed for the patient to be on mechanical ventilation (intubated) prior to safely extubating post operatively. A fast track early extubation time within six hours has been reported to produce many benefits and efficacy when compared to prolonged intubation. Furthermore, it reduces ventilator associated complications such as nosocomial pneumonias, early patient mobilization, and patient respiratory functions. However, every patient is different so further personalized a plan of care is required to ensure optimal outcomes.
"Appropriate Timing of Extubation Post Cardiac Surgery,"
Lynchburg Journal of Medical Science: Vol. 1
, Article 13.
Available at: https://digitalshowcase.lynchburg.edu/dmscjournal/vol1/iss3/13
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