Less invasive cardiac anesthesia: an ultra-fast-track procedure avoiding XXXX .

@entity1 @entity16 @entity1337 @entity358 @entity955 @entity741
BACKGROUND AND OBJECTIVE: A new "less invasive" technique avoiding @entity1337 has be en tested for suitability as a routine procedure for cardiac anesthesia. Early postoperative extubation is an important step in this fasttrack procedure. MATERIALS AND METHODS: Consecutive @entity1 (n = 547; age, 35-82 years; mean age, 64 year s; male to female ratio, 3.5) underwent general anesthesia with ultra-short-acting opiates and then underwent coronary surgery (n = 465), valve surgery (n = 38), or combined and other procedures (n = 44) a r;. In 51.4% cases, coronary artery bypass grafting was performed off pump. The percentage of @entity1 extubated within 10 minutes after skin closure was the primary end point. In addition, we attempted to identify the limiting factors of the procedure tested. RESULTS AND DISCUSSION: Of the 547 @entity1 , 499 (91%) were extubated within 10 minutes after skin closure. Early extubation failed in 48 (9%) of the @entity1 . The mortality rate was 1.5%. One (0.2%) of the @entity1 needed early reintubation because of pneumothorax. Postoperative @entity741 was recorded in 10 (1.8%) of the @entity1 . Ninetysix (17.5%) of the @entity1 were treated pharmacologically for newly developed @entity955 . None of the @entity1 needed hemodialysis. Transient @entity16 were recorded in 10 (1.8%) of the @entity1 . The early extubation failure group showed statistically significantly higher rates of preoperative @entity358 , use of extracorporeal circulation, administration of inotropic drugs in the operating room, and statistically significantly longer duration of surgery. CONCLUSION: Early extubation proved suitable as a routine procedure for the vast majority of @entity1 . With a good postoperative analgetic protocol, there is no need for @entity1337 . Such avoidance of @entity1337 is a further step in minimizing invasiveness in cardiac surgery.
