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Early Cardiac Extubation After Cardiac Surgery

Conditions
Post-operative Cardiac Surgery
Interventions
Procedure: Early extubation
Registration Number
NCT05050435
Lead Sponsor
University of Liege
Brief Summary

The management of heart valve disease is constantly evolving over time. The minimally invasive approach (mini-thoracotomy and J-hemisternotomy) is one of the major surgical evolutions. It has many advantages including, among others, a reduction of postoperative pain and the preservation of sternal stability This evolution of the surgical technique towards a less invasive approach encouraged the investigators to adapt the anesthetic management accordingly. In particular, immediate postoperative extubation appeared feasible. The investigators would therefore like to test the hypothesis that immediate extuation is non-inferior to delayed extubation with regard to patient safety. The investigators also investigated whether immediate extubation could be beneficiel in terms of vasopressors requirement, risk of early postoperative complications, fluid balance and length of stay in the intesive care unit and in the hopsital.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
500
Inclusion Criteria
  • Minimally invasive valve replacement intervention (thoracotomy or J-hemisternotomy)
Exclusion Criteria
  • Combined surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Early extubated (in operating room) patients after valvular cardiac surgeryEarly extubation-
Primary Outcome Measures
NameTimeMethod
Post-operative complications30 days

Intensive care unit length of stay (days)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

ULiege - CHU

🇧🇪

Liège, Belgium

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