Post-operative Cardiac Surgery
Conditions
Keywords
post-operative complications, on table extubation
Brief summary
The management of heart valve disease is constantly evolving over time. The minimally invasive approach (mini-thoracotomy and J-hemisternotomy) is one of the major surgical evolutions. It has many advantages including, among others, a reduction of postoperative pain and the preservation of sternal stability This evolution of the surgical technique towards a less invasive approach encouraged the investigators to adapt the anesthetic management accordingly. In particular, immediate postoperative extubation appeared feasible. The investigators would therefore like to test the hypothesis that immediate extuation is non-inferior to delayed extubation with regard to patient safety. The investigators also investigated whether immediate extubation could be beneficiel in terms of vasopressors requirement, risk of early postoperative complications, fluid balance and length of stay in the intesive care unit and in the hopsital.
Interventions
PROCEDUREEarly extubation
Patients of the 2 groups are extubated at different moments: either immediately postoperatively, in the operating room, or after a few hours monitoring in ICU
Sponsors
University of Liege
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Minimally invasive valve replacement intervention (thoracotomy or J-hemisternotomy)
Exclusion criteria
* Combined surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative complications | 30 days | Intensive care unit length of stay (days) |
Countries
Belgium
Contacts
Primary ContactOceane Jaquet
Outcome results
None listed