دورية أكاديمية
أعرض في EDS

Spinal Anesthesia Increases the Frequency of Extubation in the Operating Room and Decreases the Time of Mechanical Ventilation after Cardiac Surgery.

التفاصيل البيبلوغرافية
العنوان: Spinal Anesthesia Increases the Frequency of Extubation in the Operating Room and Decreases the Time of Mechanical Ventilation after Cardiac Surgery.
المؤلفون: Elmiro GS; Department of Anesthesiology Service, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil., Souza AH; Department of Cardiovascular Surgery, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil., Loyola SO; Department of Anesthesiology Service, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil., Prudente ML; Department of Hemodynamic Service, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil., Kushida CL; Department of Intensive Care Unit, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil., Carvalho JO Sobrinho; Department of Intensive Care Unit, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil., Zumpano F; Department of Anesthesiology Service, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil., Gardenghi G; Department of Scientific Coordination, ENCORE Hospital, Aparecida de Goiânia, Goiás, Brazil.
المصدر: Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2021 Feb 01; Vol. 36 (1), pp. 32-38. Date of Electronic Publication: 2021 Feb 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Brazilian Society of Cardiovascular Surgery Country of Publication: Brazil NLM ID: 101677045 Publication Model: Electronic Cited Medium: Internet ISSN: 1678-9741 (Electronic) Linking ISSN: 01027638 NLM ISO Abbreviation: Braz J Cardiovasc Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: São Paulo, SP, Brasil : Brazilian Society of Cardiovascular Surgery, [2015]-
مواضيع طبية MeSH: Anesthesia, Spinal* , Cardiac Surgical Procedures*, Aged ; Airway Extubation ; Humans ; Male ; Middle Aged ; Operating Rooms ; Respiration, Artificial ; Retrospective Studies ; Time Factors
مستخلص: Introduction: The delayed extubation of patients undergoing mechanical ventilation (MV) in the postoperative period of cardiac surgery (CS) is associated with mortality. The adoption of spinal anesthesia (SA) combined with general anesthesia in CS influences the orotracheal intubation time (OIT). This study aims to verify if the adoption of SA reduces the time of MV after CS, compared to general anesthesia (GA) alone.
Methods: Two hundred and seventeen CS patients were divided into two groups. The GA group included 108 patients (age: 56±1 years, 66 males) and the SA group included 109 patients (age: 60±13 years, 55 males). Patients were weaned from MV and, after clinical evaluation, extubated.
Results: In the SA group, considering a 13-month period, 24% of the patients were extubated in the operating room (OR), compared to 10% in the GA group (P=0.00). The OIT was lower in the SA group than in the GA group (SA: 4.4±5.9 hours vs. GA: 6.0±5.6 hours, P=0.04). In July/2017, where all surgeries were performed in the GA regimen, only 7.1% of the patients were extubated in the OR. In July/2018, 94% of the surgeries were performed under SA, and 64.7% of the patients were extubated in the OR (P=0.00). The OIT on arrival at the intensive care unit to extubation, comparing July/2017 to July/2018, was 5.3±5.3 hours in the GA group vs. 1.7±3.9 hours in the SA group (P=0.04).
Conclusion: The adoption of SA in CS increased the frequency of extubations in the OR and decreased OIT and MV time.
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فهرسة مساهمة: Keywords: Airway Extubation; Anesthesia, Spinal; Cardiac Surgical Procedures; Clinical Protocols; Operation Rooms; Postoperative Period; Respiration, Artificial
تواريخ الأحداث: Date Created: 20201228 Date Completed: 20210423 Latest Revision: 20210423
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7918398
DOI: 10.21470/1678-9741-2019-0433
PMID: 33355784
قاعدة البيانات: MEDLINE
الوصف
تدمد:1678-9741
DOI:10.21470/1678-9741-2019-0433