ULTRA FAST TRACK EXTUBATION FOLLOWING OFF-PUMP CORONARY ARTERY BYPASS SURGERY (A CLINICAL EXPERIENCE IN 40 PATIENTS)

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SOLTANI GH.; KARIMI S.M.; NEZAFATI M.H.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2003 | Volume:23 | Issue:42 Page(s): 35-45

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Title

ULTRA FAST TRACK EXTUBATION FOLLOWING OFF-PUMP CORONARY ARTERY BYPASS SURGERY (A CLINICAL EXPERIENCE IN 40 PATIENTS)

Author(s)

SOLTANI GH. | KARIMI S.M. | NEZAFATI M.H. | Issue Writer Certificate

Keywords

OFF-PUMP CORONARY ARTERY BYPASS SRGERYQ4

ULTRA FAST TRACK EXTUBATIONQ4

TOTAL INTRAVENOUS ANESTHESIAQ4

Abstract

Ultra fast track extubation (U.F.T.E) in operating theater after CABG surgery is a new topic in medical world. Benefits like shortened time of mechanical ventilation and less related complications, better hemodynamic stability, shorter length of stay in ICU, improved psychological condition, faster onset of oral medications and decreased financial expenses, lead us to have a try on it, so we had a descriptive and prospective study with non-randomized simple sampling on 40 patints who were candidates for Off-Pump Coronary Artery Bypass surgery (OPCABs) from March to August 2003 in the department of open heart surgery at MUMS's Imam Reza Hospital. We chose Remifentanil based TOTAL INTRAVENOUS ANESTHESIA (T.I.V.A) method. All patients were post-operatively extubated while in operating room, and then transferred to ICD. All patients had continuous intravenous of Remifentanil for post-operative pain control. All of them had suitable intra and post-operative hemodynamic stability. Three hours after admission in ICU, they were able to be given oral medications. Concerning complications and problems, two patients suffered from mild nausea while two other patients experienced transient apnea. One patient needed to have tracheal intubation due to insufficient ventilation and arterial blood gas disturbance. Mean Visual Analogue Scale (VAS) were 0.7 and Sedation Agitation Scale (SAS) about 3.6 Recall of intra - operative events, and mortality rate were absolutely zero. None of patients needed to have re-operation.

Cites

CORRELATION BETWEEN PREOPERATIVE DEMOGRAPHIC AND PHYSIOLOGIC VARIABLES AND EXTUBATION TIME AFTER CORONARY ARTERY BYPASS GRAFT (CABG)

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APA: Copy

SOLTANI, GH., KARIMI, S.M., & NEZAFATI, M.H.. (2003). ULTRA FAST TRACK EXTUBATION FOLLOWING OFF-PUMP CORONARY ARTERY BYPASS SURGERY (A CLINICAL EXPERIENCE IN 40 PATIENTS). JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 23(42), 35-45. SID. https://sid.ir/paper/63240/en

Vancouver: Copy

SOLTANI GH., KARIMI S.M., NEZAFATI M.H.. ULTRA FAST TRACK EXTUBATION FOLLOWING OFF-PUMP CORONARY ARTERY BYPASS SURGERY (A CLINICAL EXPERIENCE IN 40 PATIENTS). JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2003;23(42):35-45. Available from: https://sid.ir/paper/63240/en

IEEE: Copy

GH. SOLTANI, S.M. KARIMI, and M.H. NEZAFATI, “ULTRA FAST TRACK EXTUBATION FOLLOWING OFF-PUMP CORONARY ARTERY BYPASS SURGERY (A CLINICAL EXPERIENCE IN 40 PATIENTS),” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 23, no. 42, pp. 35–45, 2003, [Online]. Available: https://sid.ir/paper/63240/en

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