Heart & Lung: The Journal of Acute and Critical Care
Volume 39, Issue 4 , Pages 275-282 , July 2010

Risk factors for late extubation after coronary artery bypass grafting

  • Qiang Ji, MD, PhD

      Affiliations

    • Department of Thoracic Cardiovascular Surgery of Tongji Hospital of Tongji University, Shanghai, P.R. China
    • ,
  • Liangjie Chi, PhD

      Affiliations

    • Medical School of Tongji University, Shanghai, P.R. China
    • ,
  • Yunqing Mei, MD, PhD

      Affiliations

    • Department of Thoracic Cardiovascular Surgery of Tongji Hospital of Tongji University, Shanghai, P.R. China
    • Corresponding Author InformationCorresponding author: Yunqing Mei and Qiang Ji, MD, PhD, Department of Thoraco-Cardiovascular Surgery of Tongji Hospital, Tongji University, 389 Xincun Rd, Shanghai, 200065, P.R. China.
    • ,
  • Xisheng Wang, MD, PhD

      Affiliations

    • Department of Thoracic Cardiovascular Surgery of Tongji Hospital of Tongji University, Shanghai, P.R. China
    • ,
  • Jing Feng, MD

      Affiliations

    • Department of Thoracic Cardiovascular Surgery of Tongji Hospital of Tongji University, Shanghai, P.R. China
    • ,
  • Jiangzhi Cai, MD, PhD

      Affiliations

    • Department of Thoracic Cardiovascular Surgery of Tongji Hospital of Tongji University, Shanghai, P.R. China
    • ,
  • Yifeng Sun, MD

      Affiliations

    • Department of Thoracic Cardiovascular Surgery of Tongji Hospital of Tongji University, Shanghai, P.R. China

References 

  1. Klineberg PL, Geer RT, Hirsh RA, Aukburg SJ. Early extubation after coronary artery bypass graft surgery. Crit Care Med. 1977;5:272–274
  2. Hawkes CA, Dhileepan S, Foxcroft D. Early extubation for adult cardiac surgical patients. Cochrane Database Syst Rev. 2003;(4):CD003587
  3. Reis J, Mota JC, Ponce P, Costa-Pereira A, Guerreiro M. Early extubation does not increase complication rates after coronary artery bypass graft surgery with cardiopulmonary bypass. Eur J Cardiothorac Surg. 2002;21:1026–1030
  4. Rashid A, Sattar KA, Dar MI, Khan AB. Analyzing the outcome of early versus prolonged extubation following cardiac surgery. Ann Thorac Cardiovasc Surg. 2008;14:218–223
  5. Weissman C. Pulmonary complications after cardiac surgery. Semin Cardiothorac Vasc Anesth. 2004;8:185–211
  6. Verrier ED, Wright IH, Cochran RP, Spiess BD. Changes in cardiovascular surgical approaches to achieve early extubation. J Cardiothorac Vasc Anesth. 1995;9:10–15
  7. Wong DT, Cheng DC, Kustra R, Tibshirani R, Karski J, Carroll-Munro J, et al. Risk factors of delayed extubation, prolonged length of stay in the intensive care unit, and mortality in patients undergoing coronary artery bypass graft with fast-track cardiac anesthesia: a new cardiac risk score. Anesthesiology. 1999;91:936–944
  8. Silbert BS, Santamaria JD, O'Brien JL, Blyth CM, Kelly WJ, Molnar RR. Early extubation following coronary artery bypass surgery: a prospective randomized controlled trial. The Fast Track Cardiac Care Team. Chest. 1998;113:1481–1488
  9. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999;16:9–13
  10. Amram JC, Michael GK, George F, Benjamin M, Diklah G, Arie S. Morbid results of prolonged intubation after coronary artery bypass surgery. Chest. 2000;118:1724–1731
  11. Dumas A, Dupuis GH, Searle N, Cartier R. Early versus late extubation after coronary artery bypass grafting: effects on cognitive function. J Cardiothorac Vasc Anesth. 1999;13:130–135
  12. Lee JH, Graber R, Popple CG, Furey E, Lyons T, Murrell HK, et al. Safety and efficacy of early extubation of elderly coronary artery bypass surgery patients. J Cardiothorac Vasc Anesth. 1998;12:381–384
  13. Filsoufi F, Rahmanian PB, Castillo JG, Mechanick JI, Sharma SK, Adams DH. Diabetes is not a risk factor for hospital mortality following contemporary coronary artery bypass grafting. Interact Cardiovasc Thorac Surg. 2007;6:753–758
  14. Antunes PE, Prieto D, Ferrão de Oliveira J, Antunes MJ. Renal dysfunction after myocardial revascularization. Eur J Cardiothorac Surg. 2004;25:597–604
  15. Ji Q, Mei Y, Wang X, Feng J, Cai J, Sun Y, et al. Study on the risk factors of postoperative hypoxemia in patients undergoing coronary artery bypass grafting. Circ J. 2008;72:1975–1980
  16. Pappalardo F, Franco A, Landoni G, Cardano P, Zangrillo A, Alfieri O. Long-term outcome and quality of life of patients requiring prolonged mechanical ventilation after cardiac surgery. Eur J Cardiothorac Surg. 2004;25:548–552
  17. Serrano N, García C, Villegas J, Huidobro S, Henry CC, Santacreu R, et al. Epidemiological Project for ICU Research and Evaluation (EPICURE). Prolonged intubation rates after coronary artery bypass surgery and ICU risk stratification score. Chest. 2005;128:595–601
  18. Mamoun NF, Xu M, Sessler DI, Sabik JF, Bashour CA. Propensity matched comparison of outcomes in older and younger patients after coronary artery bypass graft surgery. Ann Thorac Surg. 2008;85:1974–1979
  19. Lagan AL, Melley DD, Evans TW, Quinlan GJ. Pathogenesis of the systemic inflammatory syndrome and acute lung injury: role of iron mobilization and decompartmentalization. Am J Physiol Lung Cell Mol Physiol. 2008;294:L161–L174
  20. Hess PJ. Systemic inflammatory response to coronary artery bypass graft surgery. Am J Health Syst Pharm. 2005;62:S6–S9
  21. Levy JH, Tanaka KA. Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg. 2003;75:S715–S720

PII: S0147-9563(09)00232-5

doi: 10.1016/j.hrtlng.2009.09.002

Heart & Lung: The Journal of Acute and Critical Care
Volume 39, Issue 4 , Pages 275-282 , July 2010

Article Tools