Hospital Length of Stay, Mechanical Ventilation, Minimally Invasive Cardiac Surgery
Conditions
Keywords
mechanical ventilation, hospital length of stay, dexmedetomidine, Minimally Invasive Cardiac Surgery
Brief summary
The concept of enhanced recovery after surgery (ERAS) is utilizing in multiple specialties widely. Early tracheal extubation is one of the components of ERAS that enhances postoperative recovery and reduces the length of stay in intensive care unit (ICU).Dexmedetomidine is a highly selective, shorter-acting α2-adrenergic receptor agonist that has both analgesic and sedativeeffects.It was associated with decreased mortality, time to extubation, and hospital length of stay in cardiac surgical patients according to previous studies.The purpose of this study was to investigate the effect of perioperative dexmedetomidine on patients undergoing minimally invasive cardiac surgery(MICS) who were early extubated after surgery.
Interventions
DRUGDexmedetomidine
perioperative dexmedetomidine infusion
Sponsors
Far Eastern Memorial Hospital
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergone minimal invasive off-pump coronary artery bypass graft (CABG), valvular surgery or combined procedures at Far Eastern Memorial Hospital, New Taipei City, Taiwan between January 1, 2020 and August 31, 2020. * Age above 20 y/o
Exclusion criteria
* Emergency surgery * Postoperative mechanical ventilation more than 6 hours * Extubated in the operating room
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative mechanical ventilation duration | up to 1 week | from the time the patient arrived at the ICU until extubation |
| ICU and hospital length of stay | through admission, up to 1 month | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative complications | according to ICD 10 on medical record, daily to discharge, up to 1 month | atrial fibrillation, bradyarrhythmia, myocardial infarction, cerebrovascular accident, acute renal failure and delirium |
Countries
Taiwan
Outcome results
None listed