Implementing Ultra-Fast-Track Cardiac Anesthesia in Minimally Invasive Cardiac Surgery.
Ultra-fast-track anesthesia cut intensive care unit delirium after minimally invasive cardiac surgery
Implementing Ultra-Fast-Track Cardiac Anesthesia in Minimally Invasive Cardiac Surgery.
To analyze factors influencing the implementation of ultra-fast-track cardiac anesthesia (ultra-fast-track cardiac anesthesia) from the perspectives of preoperative and intraoperative conditions and to compare its postoperative recovery with that of conventional cardiac anesthesia (CGA).
An observational retrospective study SETTING: Electronic medical records data for patients from January 2021 through July 2023 PARTICIPANTS: 967 patients with a documented history of minimally invasive cardiac surgery (minimally invasive cardiac surgery) INTERVENTIONS: Review of electronic
Multivariate logistic regression identified independent factors associated with ultra-fast-track cardiac anesthesia implementation.
Risk factor analysis showed that age >50 years (odds ratio [OR], 1.924; p = 0.040), history of stroke (OR, 2.290; p = 0.009), and duration of cardiopulmonary bypass (cardiopulmonary bypass) (OR, 1.013; p < 0.001), intraoperative sufentanil dosage (OR, 1.035; p < .001), and surgeries ending after 8 pm (OR, 2.184; p < 0.001) were negatively correlated with ultra-fast-track cardiac anesthesia implementation.
Seven independent factors were identified for ultra-fast-track cardiac anesthesia implementation in minimally invasive cardiac surgery, among which age >50 years, history of stroke, duration of cardiopulmonary bypass, intraoperative sufentanil dosage, and surgery ending after 8 pm were negative factors and pectoral muscle fascial plane block and dexamethasone use were positive factors.
The use of ultra-fast-track cardiac anesthesia in minimally invasive cardiac surgery shortened intensive care unit stay and hospital stay, decreased the incidence of delirium, and promoted postoperative pulmonary function.