Prospective Observational Study of the Optinal Timing of Extubation in Cardiac Surgery Patients

OBJECTIVE: The optimal timing of extubation following cardiac surgery is currently unknown, we collected data of our post operative cardiac surgery patients who wean early ad extubated, (after >6 hour ventilation even in late night) verses those who wean and extubated after 18 to 20 hour of ventilation and asses the ICU and hospital length of the stay, as a primary outcome. As an secondary outcome we also checked who developed respiratory failure and require respiratory support in term of HFNC, NIV or intubation. DESIGN AND PARTICIPATION: Prospective observational data collected from period Jan 2023 to Dec 2023. In mix population of the adult ICU of the tertiary care centre at P D Hinduja hospital Mahim Mumbai Maharashtra. IMPLEMENTATION: We included all adult post operative cardia surgery patient, after 6 hours of ventilation, weaning attempt done if their cardiorespiratory status is stable (weaning criteria as per icu protocol -respiratory mechanics, RSBI >105, conscious oriented, with adequate pain control, with normal ABG after one hour T piece trail, and both intensivist and surgeon evaluation agree). MEASUREMENT AND RESULT: CONCLUSION: There was reduction in the ICU stays in those patients who wean and extubated early (18 hour). However, hospital stay did not differ much in both early and late wean, mean average day stay in hospital is 6 days in both category. Infection and newer antibiotic added less to early wean patient category. Patient comfort, early mobilization was more happen in early wean and extubated patient.