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A protocol-driven approach to early extubation after heart surgery

Wednesday, March 26, 2014

Submitted by

Mark Ferguson

Source

Source Name: Journal of Thoracic and Cardiovascular Surgery

Source URL: http://www.jtcvsonline.org/article/S0022-5223(13)01253-1/abstract

Author(s)

ZW Fitch, O Debesa, R Ohkuma, D Duquaine, J Steppan, EB Schneider, GJR Whitman

This study summarizes 3 phases of clinical experience with a protocol for early extubation after CABG: standard practice, multidisciplinary protocol guidance, and multidisciplinary protocol guidance with expanded indications and bedside reminders. Early extubation (<6 hours) rates during the phases were 12%, 24%, and 38%. There were no differences in reintubation rates.