Publication: Factors facilitating the success of fast endotracheal extubation after cardiac surgery
Issued Date
2021-03-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-85103034910
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.104, No.3 (2021), 388-395
Suggested Citation
Saranya Lertkovit, Jirawadee Seehanoo, Suphalak Tipyotha, Orawan Supapueng, Phongthara Vichitvejpaisal Factors facilitating the success of fast endotracheal extubation after cardiac surgery. Journal of the Medical Association of Thailand. Vol.104, No.3 (2021), 388-395. doi:10.35755/jmedassocthai.2021.03.11560 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78377
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Factors facilitating the success of fast endotracheal extubation after cardiac surgery
Other Contributor(s)
Abstract
Objective: To study factors influencing fast endotracheal extubation after cardiac surgery. Materials and Methods: A one-year retrospective cohort study conducted via hospital medical informatics, included patients aged over 15 years old that underwent elective valvular heart surgery by means of cardiopulmonary bypass under general anesthesia. Results: Fifty-seven patients were enrolled in the present study including nine (15.8%) as fast endotracheal extubation in the operating theatre, 18 (31.6%) within eight hours postoperatively, and 30 (52.6%) non-fast endotracheal extubation eight hours after surgery. The preoperative and intraoperative factors were a younger age (p=0.018), high % left ventricular ejection function (LVEF) (p=0.023), and low creatinine level (p=0.026), as well as post cardiopulmonary bypass dexmedetomidine (p=0.01), reversal of muscle relaxant (p=0.004), and low dose dobutamine (p=0.003), respectively. However, multiple logistic regression analyses showed only two favorable factors, which were preoperative % LVEF of 60 or more (adjusted OR 11.266, 95% CI 1.700 to 74.664, p=0.012), and the intraoperative low dose dobutamine of 3 μg/kg/minute or less (adjusted OR 6.896, 95% CI 1.463 to 32.510, p=0.015). In addition, there were no significant complications. Conclusion: The factors influencing fast endotracheal extubation were preoperative% LVEF of 60 or more and intraoperative low dose dobutamine of 3 μg/kg/minute or less.