Cardiothoracic & vascular anesthesia
Operating Room Extubation in Major Aortic Surgery: Policy Change Leading to Improved Recovery
Authors' conclusion
OR extubation was associated with reduced prolonged ICU utilization after open aortic surgery without compromising safety.
Study context
- Population
- Adults undergoing open aortic surgery, 2014–2025, single academic medical center
- Participants
- 658 adults
- Exposure
- OR extubation vs ICU extubation; post- vs pre-QII implementation
- ORn = 191
- ICUn = 467reference
- Outcome
- Prolonged ICU LOS (ICU LOS >75th percentile, >124 hours)
Methodological detailssingle-centre, quality-improvement intervention, pre- and post-implementation periods
- Single-centre
- Quality-improvement intervention
- Pre- and post-implementation periods
Main finding
As reported in the abstract
Prolonged ICU stay (>124 hours)
P < 0.001
Observational data: associations, not effects.
Further findings
Prolonged ICU stay (>72 hours) (sensitivity analysis)
P < 0.001
Post- vs pre-QII implementation
- OR extubation rate increased from <5% to >50% of cases
- Prolonged ICU stay declined from 33% to 19% (p < 0.001)
- Median ICU length of stay (LOS) decreased from 96 to 65 hours (p < 0.001)
Mortality and major complications
- No differences in mortality or major complications
Original publication
Operating Room Extubation in Major Aortic Surgery: Policy Change Leading to Improved Recovery. J Cardiothorac Vasc Anesth. Published 8 May 2026. doi:10.
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