Unplanned Reintubation Following Cardiac Surgery: Incidence, Timing, Risk Factors, and Outcomes

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 30, Issue 6, 2016, Pages 1523-1529

  Beverly, Anair ^a   Brovman, Ethan Y ^a   Malapero, Raymond J ^a   Lekowski, Robert W ^a   Urman, Richard D ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

cardiac surgery; NSQIP; outcomes; postoperative; reintubation; risk factors

Indexed keywords

ANESTHETIC AGENT;

ADULT; AGED; AORTA VALVE REPLACEMENT; ARTICLE; CHRONIC KIDNEY DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CONGESTIVE HEART FAILURE; CORONARY ARTERY BYPASS GRAFT; DEEP VEIN THROMBOSIS; DYSPNEA; EMERGENCY SURGERY; FEMALE; HEART REHABILITATION; HEART SURGERY; HEART VALVE SURGERY; HOSPITAL ADMISSION; HUMAN; INTUBATION; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MITRAL VALVE REPLACEMENT; MITRAL VALVE SURGERY; OPERATION DURATION; OUTCOME ASSESSMENT; PNEUMONIA; PREOPERATIVE CARE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK FACTOR; SEPSIS; SUBACUTE CARE; TRICUSPID VALVE; TRICUSPID VALVE REPLACEMENT; AGE; ENDOTRACHEAL INTUBATION; EXTUBATION; HEALTH STATUS; INCIDENCE; LENGTH OF STAY; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; REGISTER; RETREATMENT; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME; VERY ELDERLY;

AGE FACTORS; AGED; AGED, 80 AND OVER; AIRWAY EXTUBATION; CARDIAC SURGICAL PROCEDURES; FEMALE; HEALTH STATUS; HUMANS; INCIDENCE; INTUBATION, INTRATRACHEAL; LENGTH OF STAY; MALE; MIDDLE AGED; OPERATIVE TIME; POSTOPERATIVE COMPLICATIONS; REGISTRIES; RETREATMENT; RETROSPECTIVE STUDIES; RISK FACTORS; TREATMENT OUTCOME;

EID: 84997501313     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2016.05.033     Document Type: Article

References (27)

1. 1 Lin, H.T., Ting, P.C., Chang, W.Y., et al. Predictive risk index and prognosis of postoperative reintubation after planned extubation during general anesthesia: A single-center retrospective case-controlled study in Taiwan from 2005 to 2009. Acta Anaesthesiol Taiwan 51 (2013), 3–9.
2. 2 Yazdanian, F., Azarfarin, R., Aghdaii, N., Cardiac variables as main predictors of endotracheal reintubation rate after cardiac surgery. J Tehran Heart Cent 8 (2013), 42–47.
3. 3 Zahoor, A., Azlina, N., Endotracheal reintubation in post-operative cardiac surgical patients. Anaesth Pain & Intensive Care, 15, 2011, 25.
4. 4 Candela-Toha, A., Arribas-Perez, P.P., Samaranch-Palero, N., et al. Abstract 12AP6–7: Risk factors and outcome of reintubation after cardiac surgery. European Journal of Anaesthesiology 30:Supplement 51 (2013), 198–199.
5. 5 Ramachandran, S.K., Nafiu, O.O., Ghaferi, A., et al. Independent predictors and outcomes of unanticipated early postoperative tracheal intubation after nonemergent, noncardiac surgery. Anesthesiology 115 (2011), 44–53.
6. 6 Zhu, F., Lee, A., Chee, Y.E., Fast-track cardiac care for adult cardiac surgical patients. Cochrane Database Syst Rev CD, 2012, 003587.
7. 7 Johnson, R.G., Arozullah, A.M., Neumayer, L., et al. Multivariable predictors of postoperative respiratory failure after general and vascular surgery: Results from the patient safety in surgery study. J Am Coll Surg 204 (2007), 1188–1198.
8. 8 Brovman, E.Y., Gabriel, R.A., Lekowski, R.W., et al. Rate of major anesthetic-related outcomes in the intraoperative and immediate postoperative period after cardiac surgery. J Cardiothorac Vasc Anesth 30 (2015), 338–344.
9. 9 American College of Surgeons: ACS NSQIP Participant Use Data File. 2013; Available at: https://www.facs.org/~/media/files/quality%20programs/nsqip/2013_acs_nsqip_puf_user_guide.ashx. Accessed September 15, 2015.
10. 10 Hawkes, C.A., Dhileepan, S., Foxcroft, D., Early extubation for adult cardiac surgical patients. Cochrane Database Syst Rev CD, 2003, 003587.
11. 11 Borracci, R.A., Ochoa, G., Ingino, C.A., et al. Routine operation theatre extubation after cardiac surgery in the elderly. Interact Cardiovasc Thorac Surg 22 (2016), 627–632.
12. 12 Snyder, C.W., Patel, R.D., Roberson, E.O., et al. Unplanned intubation after surgery: Risk factors, prognosis, and medical emergency team effects. Am Surg 75 (2009), 834–838.
13. 13 Nashef, S.A., Roques, F., Hammill, B.G., et al. Validation of European System for Cardiac Operative Risk Evaluation (EuroSCORE) in North American cardiac surgery. Eur J Cardiothorac Surg 22 (2002), 101–105.
14. 14 Nashef, S.A.M., Roques, F., Michel, P., et al. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 16 (1999), 9–13.
15. 15 Shroyer, A.L., Coombs, L.P., Peterson, E.D., et al. The Society of Thoracic Surgeons: 30-day operative mortality and morbidity risk models. Ann Thorac Surg 75:1856-1864; discussion 1864-1865, 2003.
16. 16 Gupta, H., Gupta, P.K., Fang, X., et al. Development and validation of a risk calculator predicting postoperative respiratory failure. Chest 140 (2011), 1207–1215.
17. 17 Brueckmann, B., Villa-Uribe, J.L., Bateman, B.T., et al. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology 118 (2013), 1276–1285.
18. 18 Barnett, S., Moonesinghe, S.R., Clinical risk scores to guide perioperative management. Postgrad Med J 87 (2011), 535–541.
19. 19 Krinsley, J.S., Reddy, P.K., Iqbal, A., What is the optimal rate of failed extubation?. Critical Care, 16, 2012, 111.
20. 20 Lee, P.J., MacLennan, A., Naughton, N.N., et al. An analysis of reintubations from a quality assurance database of 152,000 cases. J Clin Anesth 15 (2003), 575–581.
21. 21 Camp, S.L., Stamou, S.C., Stiegel, R.M., et al. Can timing of tracheal extubation predict improved outcomes after cardiac surgery?. HSR Proc Intensive Care Cardiovasc Anesth 1 (2009), 39–47.
22. 22 Stephan, F., Barrucand, B., Petit, P., et al. High-flow nasal oxygen vs noninvasive positive airway pressure in hypoxemic patients after cardiothoracic surgery: A randomized clinical trial. JAMA 313 (2015), 2331–2339.
23. 23 Laudato, N., Gupta, P., Walters, H.L. 3rd, et al. Risk factors for extubation failure following neonatal cardiac surgery. Pediatr Crit Care Med 16 (2015), 859–867.
24. 24 Allen, M.S., Blackmon, S., Nichols, F.C., et al. Comparison of two national databases for general thoracic surgery. Ann Thorac Surg 100:1155-1161; discussion 1161-1162, 2015.
25. 25 Dixon, J.L., Papaconstantinou, H.T., Hodges, B., et al. Redundancy and variability in quality and outcome reporting for cardiac and thoracic surgery. Proc (Bayl Univ Med Cent) 28 (2015), 14–17.
26. 26 Tillquist, M., Gabriel, R.A., Dutton, R.P., et al. Incidence and risk factors for early postoperative reintubations. J Clin Anesth 31 (2016), 80–89.
27. 27 Nicolini, F., Agostinelli, A., Vezzani, A., et al. The evolution of cardiovascular surgery in elderly patient: A review of current options and outcomes. Biomed Res Int, 2014, 2014, 736298.