A New Method for Extubation: Comparison between Conventional and New Methods
Background: Extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. In orde...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2015-10-01
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| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/259 |
| _version_ | 1818146022904299520 |
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| author | Fardin Yousefshahi Khosro Barkhordari Ali Movafegh Vida Tavakoli Omalbanin Paknejad Payvand Bina Hadi Yousefshahi Mahmood Sheikh-Fathollahi |
| author_facet | Fardin Yousefshahi Khosro Barkhordari Ali Movafegh Vida Tavakoli Omalbanin Paknejad Payvand Bina Hadi Yousefshahi Mahmood Sheikh-Fathollahi |
| author_sort | Fardin Yousefshahi |
| collection | DOAJ |
| description | Background: Extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. In order to reduce these complications, and, based on basic physiological principles, a new practical extubation method is presented in this article.
Methods: The study was designed as a six-month prospective cross-sectional clinical trial. Two hundred fifty-seven patients undergoing coronary artery bypass grafting (CABG) were divided into two groups based on their scheduled surgery time. The first group underwent the conventional extubation method, while the other group was extubated according to a new described method. Arterial blood gas (ABG) analysis results before and after extubation were compared between the two groups to find the effect of the extubation method on the ABG parameters and the oxygenation profile.
Results: In all time intervals, the partial pressure of oxygen in arterial blood / fraction of inspired oxygen(PaO/ FiO ) ratio in the new method group patients was improved compared to that in the conventional method; some differences, like PaO\FiO four hours after extubation, were statistically significant, however (p value = 0.0063).
Conclusion: The new extubation method improved somerespiratory parameters and thus attenuated oxygenationcomplications and amplified oxygenation after extubation. |
| first_indexed | 2024-12-11T12:12:45Z |
| format | Article |
| id | doaj.art-420e9eb4c6fd448eaa457a21dc0f76ba |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-12-11T12:12:45Z |
| publishDate | 2015-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-420e9eb4c6fd448eaa457a21dc0f76ba2022-12-22T01:07:44ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712015-10-0173255A New Method for Extubation: Comparison between Conventional and New MethodsFardin Yousefshahi0Khosro Barkhordari1Ali Movafegh2Vida Tavakoli3Omalbanin Paknejad4Payvand Bina5Hadi Yousefshahi6Mahmood Sheikh-Fathollahi7Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Rajaee Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Background: Extubation is associated with the risk of complications such as accumulated secretion above the endotracheal tube cuff, eventual atelectasia following a reduction in pulmonary volumes because of a lack of physiological positive end expiratory pressure, and intra-tracheal suction. In order to reduce these complications, and, based on basic physiological principles, a new practical extubation method is presented in this article. Methods: The study was designed as a six-month prospective cross-sectional clinical trial. Two hundred fifty-seven patients undergoing coronary artery bypass grafting (CABG) were divided into two groups based on their scheduled surgery time. The first group underwent the conventional extubation method, while the other group was extubated according to a new described method. Arterial blood gas (ABG) analysis results before and after extubation were compared between the two groups to find the effect of the extubation method on the ABG parameters and the oxygenation profile. Results: In all time intervals, the partial pressure of oxygen in arterial blood / fraction of inspired oxygen(PaO/ FiO ) ratio in the new method group patients was improved compared to that in the conventional method; some differences, like PaO\FiO four hours after extubation, were statistically significant, however (p value = 0.0063). Conclusion: The new extubation method improved somerespiratory parameters and thus attenuated oxygenationcomplications and amplified oxygenation after extubation.https://jthc.tums.ac.ir/index.php/jthc/article/view/259Airway extubation • Cardiac surgical procedures • Blood gas analysis |
| spellingShingle | Fardin Yousefshahi Khosro Barkhordari Ali Movafegh Vida Tavakoli Omalbanin Paknejad Payvand Bina Hadi Yousefshahi Mahmood Sheikh-Fathollahi A New Method for Extubation: Comparison between Conventional and New Methods Journal of Tehran University Heart Center Airway extubation • Cardiac surgical procedures • Blood gas analysis |
| title | A New Method for Extubation: Comparison between Conventional and New Methods |
| title_full | A New Method for Extubation: Comparison between Conventional and New Methods |
| title_fullStr | A New Method for Extubation: Comparison between Conventional and New Methods |
| title_full_unstemmed | A New Method for Extubation: Comparison between Conventional and New Methods |
| title_short | A New Method for Extubation: Comparison between Conventional and New Methods |
| title_sort | new method for extubation comparison between conventional and new methods |
| topic | Airway extubation • Cardiac surgical procedures • Blood gas analysis |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/259 |
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