Extubation in the Operating Room After Elective On-pump CABG Surgery

link.springer.com March 27, 2025

Although immediate extubation in the operating room following on-pump coronary artery bypass graft (CABG) surgery did not show significant differences in ICU or hospital length of stay (LOS), mortality, or ICU readmission rates compared to conventional intubation practices, it may still offer potential benefits, such as reduced norepinephrine use.

Future multicenter randomized controlled trials are necessary to determine the optimal timing of extubation after cardiac surgery to enhance patient outcomes and healthcare efficiency.

This study is a retrospective single-center study, including data from the University Hospital Aachen, Germany.

Clinical data from 2019 to 2022 were analyzed, focusing on patients who underwent on-pump CABG surgery.

Primary endpoints studied were the duration of ICU stay, rates of ICU readmission, and ICU mortality.

Secondary outcomes included the hospital length of stay, hospital mortality, and the occurrence of postoperative pneumonia.