Commentary: How soon is now?

Evolutions in anesthetic techniques have enabled providers to be increasingly proactive with extubation following all types of cardiac surgery. So-called “fast-track” extubation is generally accepted to occur within 2-6 hours of surgery and has been shown to be safe with clinical benefits stemming largely from reductions in perioperative opioid use.1 “Ultra-fast track” extubation, defined as extubation within the operating room itself, is pur ported to provide even further benefits.2,3 Hawkins and colleagues here present a thought-provoking study suggesting that ultra-fast track extubation may provide cost savings at the expense of adverse events, namely bleeding.
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ADULT – Commentary Source Type: research