Cardiothoracic & vascular anesthesia

Safety of selective operating room extubation after median sternotomy for cardiac surgery with parasternal regional analgesia

Reg Anesth Pain MedPublished Retrospective cohort study

Authors' conclusion

Selective ORE after median sternotomy for cardiac surgery was not associated with an increased risk of reintubation and NIPPV use in the setting of parasternal regional analgesia.

Study context

Population
Adult cardiac surgical patients after median sternotomy, January 2020 to September 2023
Participants
2,294 patients
Exposure
ORE-B vs FTE-B vs FTE
  • ORE-Bn = 256
  • FTE-Bn = 729
  • FTEn = 1,309reference
Outcome
Reintubation and NIPPV use
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Reintubation and NIPPV use

NIPPV

all p≥0.743

  • ORE-B, FTE-B vs FTE: all p≥0.26 — reintubation

Observational data: associations, not effects.

Further findings

Hospital LOS

Hours

OutcomeORE-BFTE-BFTEP value
Time to extubationFTE-B vs FTE— not stated in the abstract2.53.8P = <0.001

— not stated in the abstract

Hospital LOS

Significantly shorter for ORE-B and FTE-B vs FTE

Original publication

Safety of selective operating room extubation after median sternotomy for cardiac surgery with parasternal regional analgesia. Reg Anesth Pain Med. Published 18 December 2025. doi:10.1136/rapm-2025-107157

Composed by AI from the published abstract and checked against it. How Briefs are made →

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