OBJECTIVE A fast-track recovery in cardiac surgery yields many benefits, and early tracheal extubation is important as the first step. The purpose of this study is to evaluate the status of early tracheal extubation after on-pump coronary artery bypass grafting (CABG) and to find key factors for successful early tracheal extubation. METHODS From September 1996 to February 2005, isolated on-pu...

conclusions although some studies showed association between anemia and extubation failure, the current study could not confirm it. the study showed that males, regardless of the hct level, had a better extubation success rate than those of females. results there was no significant association between the level of hct concentration and extubation failure (8.9% vs. 9.2%, p = 0.507). gender and a...

OBJECTIVE This study was designed to assess the factors that influence immediate extubation following totally thoracoscopic closure of congenital heart defects. SUBJECTS AND METHODS Clinical and operational data of 216 patients (87 males, average age 13.6 ± 10.9 years) were retrospectively analyzed. Atrial (ASD, n = 90) or ventricular septal defects (VSD, n = 126) were closed via a totally th...

emergence from general anesthesia can be associated with coughing, agitation, and hemodynamic disturbances. remifentanil may attenuate these responses. we have examined the effect of remifentanil on the hemodynamic response to the emergence from anesthesia and tracheal extubation. in a double-blind, randomized trial, we enrolled 50 adult patients undergoing abdominal surgery. all patients recei...

Background:  Successful weaning of the ventilator is a major challenge, especially in children. This study was conducted to compare the criteria of readiness for extubation and daily spontaneous breathing test (SBT) on the duration of mechanical ventilation and extubation failure rates. Materials and Metho...

OBJECTIVES To determine the incidence of extubation failure in preterm newborns with birth weight < 1,250 g extubated to nasal continuous positive airway pressure and to identify the main risk factors associated with the need for reintubation in this population. METHODS A retrospective review of eligible infants admitted and mechanically ventilated between July 2002 and June 2004 was performe...

background: extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. in order to reduce these complications, and, based on basic physiological principles, a new practical ex...

BACKGROUND/AIMS Both diaphragmatic excursion and change in muscle thickening are measured using ultrasonography (US) to assess diaphragm function and mechanical ventilation weaning outcomes. However, which parameter can better predict successful extubation remains to be determined. The aim of this study was to compare the clinical utility of these two diaphragmatic parameters to predict extubat...