OBJECTIVE: To assess the safety of early (<2 hrs) extubation after elective infrarenal aortic surgical procedures. DESIGN: A retrospective chart review of 192 consecutive elective infrarenal aortic surgical procedures from January 1990 to March 1994 at Mayo Clinic Scottsdale was undertaken. MEASUREMENTS AND MAIN RESULTS: Combined general and epidural anesthesia was used extensively (187 patients; 97.4%). Early extubation was accomplished in 166 (86.5%) patients. Time to extubation was dependent on clinical factors and not by protocol. All early extubations occurred in the operating room or recovery room with a median time from skin closure of 12 minutes. Ten patients were extubated from 2 to 12 hours after the procedure, 14 patients more than 12 hours after the procedure, and 2 patients were not extubated and subsequently expired. Of the 166 patients extubated within 2 hours, 8 (4.8%) required reintubation. Factors found univariantly to be significantly associated with failure of early extubation include obesity, abnormal chest x-ray postoperatively, prior myocardial infarction, and prior coronary revascularization (p < 0.05). CONCLUSION: Early extubation (<2 hrs) after elective infrarenal aortic procedures may be performed safely and should be undertaken unless clinical features suggest failure of extubation.
OBJECTIVE: To assess the safety of early (<2 hrs) extubation after elective infrarenal aortic surgical procedures. DESIGN: A retrospective chart review of 192 consecutive elective infrarenal aortic surgical procedures from January 1990 to March 1994 at Mayo Clinic Scottsdale was undertaken. MEASUREMENTS AND MAIN RESULTS: Combined general and epidural anesthesia was used extensively (187 patients; 97.4%). Early extubation was accomplished in 166 (86.5%) patients. Time to extubation was dependent on clinical factors and not by protocol. All early extubations occurred in the operating room or recovery room with a median time from skin closure of 12 minutes. Ten patients were extubated from 2 to 12 hours after the procedure, 14 patients more than 12 hours after the procedure, and 2 patients were not extubated and subsequently expired. Of the 166 patients extubated within 2 hours, 8 (4.8%) required reintubation. Factors found univariantly to be significantly associated with failure of early extubation include obesity, abnormal chest x-ray postoperatively, prior myocardial infarction, and prior coronary revascularization (p < 0.05). CONCLUSION: Early extubation (<2 hrs) after elective infrarenal aortic procedures may be performed safely and should be undertaken unless clinical features suggest failure of extubation.
Authors: Ramoncito A David; Benjamin S Brooke; Kristine T Hanson; Philip P Goodney; Elizabeth A Genovese; Donald T Baril; Peter Gloviczki; Randall R DeMartino Journal: J Vasc Surg Date: 2017-03-31 Impact factor: 4.268
Authors: Sara L Zettervall; Peter A Soden; Katie E Shean; Sarah E Deery; Klaas H J Ultee; Matthew Alef; Jeffrey J Siracuse; Marc L Schermerhorn Journal: J Vasc Surg Date: 2016-08-27 Impact factor: 4.268