Cardiothoracic & vascular anesthesia
On-table Extubation After Minimally Invasive Cardiac Surgery: A Retrospective Observational Pilot Study
Main finding · Postoperative pulmonary complicationsResult — go to the resultAdjusted odds ratio 0.84 95% CI 0.40–1.77Authors' conclusion
"On-table" extubation was not associated with an increased incidence of respiratory complications.
Study context
- Population
- Patients undergoing nonemergent isolated heart valve surgery via minithoracotomy, tertiary referral academic hospital, January 2016–August 2021
- Participants
- 294 patients
- Exposure
- "On-table" extubation vs extubation in the intensive care unit (ICU)
- On-tablen = 186
- Outcome
- Any postoperative respiratory complication
- Follow-up
- Entire hospital stay
Methodological detailssingle-centre, pilot, multivariate logistic adjustment
- Single-centre
- Pilot
- Multivariate logistic adjustment
Main finding
Postoperative pulmonary complications
Adjusted odds ratio
0.84
95% CI 0.40–1.77
P = 0.64
On-table vs ICU
aOR 0.84 (95% CI 0.40–1.77); P = 0.64
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
Postoperative pneumonia and vasopressor requirements
- "On-table" extubation associated with lower risk of postoperative pneumonia and fewer vasopressor requirements
Baseline/intraoperative differences
- CPB duration significantly longer and moderate intraoperative hypothermia significantly more frequent in ICU-extubated patients
Original publication
On-table Extubation After Minimally Invasive Cardiac Surgery: A Retrospective Observational Pilot Study. J Cardiothorac Vasc Anesth. Published 2 August 2023. doi:10.
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