Effect of ultra-fast-track cardiac anesthesia on vasoactive-inotropic support after coronary artery bypass grafting.
Ultra-fast-track anesthesia lowered vasoactive-inotropic support after coronary bypass surgery
Effect of ultra-fast-track cardiac anesthesia on vasoactive-inotropic support after coronary artery bypass grafting.
Nevertheless, its influence on early postoperative hemodynamic stability, particularly in terms of vasoactive-inotropic requirements, remains insufficiently defined.
Ultra-fast-track cardiac anesthesia (ultra-fast-track cardiac anesthesia) aims to promote rapid tracheal extubation and has increasingly been incorporated into enhanced recovery protocols after coronary artery bypass grafting (coronary artery bypass grafting).
In this study with a prospective, randomized design, adult patients scheduled for elective isolated coronary artery bypass grafting were assigned in a 1:1 ratio to either immediate extubation in the operating theater (ultra-fast-track cardiac anesthesia group) or conventional extubation in the intensive care unit (intensive care unit).
ultra-fast-track anesthesia meant less need for drugs supporting blood pressure and heart function
Outcome analyses were performed on 98 randomized patients (60.2% male; mean age 63.1±8.4 years) with comparable baseline variables between groups.
Additionally, intensive care unit and hospital stay durations, time to mobilization, and chest tube removal occurred earlier in the ultra-fast-track cardiac anesthesia cohort.
QoR-15 scores were significantly improved in the ultra-fast-track cardiac anesthesia group.
Postoperative pain scores, rescue analgesic use, nausea, vomiting, and delirium rates did not differ significantly.
Immediate extubation using an ultra-fast-track cardiac anesthesia strategy was associated with reduced vasoactive-inotropic support requirements and improved early recovery metrics after coronary artery bypass grafting, without compromising safety.