Airway management

Impact of tracheal extubation location after surgical procedures on peri‐operative times: a prospective dual‐centre observational study*

AnaesthesiaPublished Prospective observational cohort study

Authors' conclusion

Tracheal extubation in the operating theatre is associated with an increase in theatre occupancy of < 8 min and a lower incidence of postoperative respiratory and cardiovascular complications.

Study context

Population
Patients intubated for surgery in the operating theatre of two university hospitals
Participants
756 patients
Exposure
Tracheal extubation in the operating theatre vs in the PACU
  • Operating theatren = 494
Outcome
Operating theatre occupancy time between end of surgical procedure and discharge from the operating theatre
Methodological detailsdual-centre, propensity score matched and weighted
  • Dual-centre
  • Propensity score matched and weighted

Main finding

As reported in the abstract

Operating theatre vs PACUDifference, min (95% CI)P value
Unadjusted
7(5–8)
P = 0.001
Matched propensity score
8(6–10)
P = 0.001
Weighted propensity score
8(6–9)
P = 0.001

Observational data: associations, not effects.

Safety

Desaturation after tracheal extubation

P < 0.001

Arterial hypotension

P = 0.019

Original publication

Impact of tracheal extubation location after surgical procedures on peri‐operative times: a prospective dual‐centre observational study*. Anaesthesia. Published 12 May 2025. doi:10.1111/anae.16620

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