Cardiothoracic & vascular anesthesia
Operating Room Extubation After Cardiac Surgery: A Promising Practice, or a Product of Selection Bias?
Authors' conclusion
A standardized ORE protocol demonstrated feasibility and safety in selected cardiac surgery patients, with low reintubation rates, zero 30-day mortality, and reduced ICU length of stay.
Study context
- Population
- Elective cardiac surgery patients with CPB, single academic centre, November 2024–June 2025
- Participants
- 628 patients
- Exposure
- Operating room extubation vs conventional intensive care unit (ICU) extubation
- Operating room extubation (ORE)n = 171
- Conventional ICU extubationn = 457reference
- Outcome
- Unadjusted ORE utilization rates, reintubation rates, 30-day mortality, ICU LOS and hospital LOS
Methodological detailssingle-centre, systematic protocol implementation
- Single-centre
- Systematic protocol implementation
Main finding
As reported in the abstract
| Group | Value | Reintubation | 30-day mortality | Median ICU stay | Median hospital stay |
|---|---|---|---|---|---|
| ORE | 27% | 5 (2.9%) | 0 | 26 hours | 5 days |
ORE
Value27%
Reintubation5 (2.9%)
30-day mortality0
Median ICU stay26 hours
Median hospital stay5 days
- Mean monthly ORE rate among eligible cases
- 28%
- Median ICU stay ORE vs overall cohort
- 26 v 38 hours
- Median hospital stay similar between groups
- 5 days
- ORE patients relatively young, low comorbidity burden; median age
- 62 years
Observational data: associations, not effects.
Further findings
- Reintubation and 30-day mortality (ORE)
- 2.9% · 5 of 171
Original publication
Operating Room Extubation After Cardiac Surgery: A Promising Practice, or a Product of Selection Bias? J Cardiothorac Vasc Anesth. Published 14 January 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →