Feasibility of on-table extubation after minimally invasive cardiac surgeries: A case series


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Article type :

Case Series

Author :

Krithika K G, Sambhunath Das*

Volume :

11

Issue :

2

Abstract :

Background: Minimally Invasive Cardiac Surgery (MICS), which involves less invasive approaches using smaller incisions, has various advantages. MICS had an even better outcome with on-table extubation, including early postoperative recovery and reduced postoperative complications. Materials and Methods: The objective of our case series was to demonstrate early postoperative recovery and reduced postoperative complications after on-table extubation of MICS cases. In our case series, we have analyzed 5 MICS cases, where the anaesthesia technique was tailored to extubate the patient on the table and followed up till discharge. All 5 patients were extubated on the table safely. Result: One patient had transient hypercapnia for 30 minutes post-extubation. There were no other postoperative complications. The inotropic support, length of stay in the Intensive Care Unit (ICU) and the hospital were reduced. Conclusion: It is feasible and safe to extubate MICS cases on the table with a multidisciplinary approach that helps to reduce post-operative complications and duration of stay in the hospital.

Keyword :

Minimally invasive cardiac surgery, Table extubation, Multimodal analgesia.