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

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Case Series

Author Details : Krithika K G , Sambhunath Das*

Volume : 11, Issue : 2, Year : 2024

Article Page : 231-234

https://doi.org/10.18231/j.ijca.2024.042

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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.

Keywords: Minimally invasive cardiac surgery, Table extubation, Multimodal analgesia.

How to cite : Krithika K G, Das S, Feasibility of on-table extubation after minimally invasive cardiac surgeries: A case series. Indian J Clin Anaesth 2024;11(2):231-234

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