The concept of enhanced recovery after surgery (ERAS) is utilizing in multiple specialties widely. Early tracheal extubation is one of the components of ERAS that enhances postoperative recovery and reduces the length of stay in intensive care unit (ICU).Dexmedetomidine is a highly selective, shorter-acting α2-adrenergic receptor agonist that has both analgesic and sedativeeffects.It was associated with decreased mortality, time to extubation, and hospital length of stay in cardiac surgical patients according to previous studies.The purpose of this study was to investigate the effect of perioperative dexmedetomidine on patients undergoing minimally invasive cardiac surgery(MICS) who were early extubated after surgery.
Study Type
OBSERVATIONAL
Enrollment
81
perioperative dexmedetomidine infusion
Far Eastern Memorial Hospital
New Taipei City, Taiwan
postoperative mechanical ventilation duration
from the time the patient arrived at the ICU until extubation
Time frame: up to 1 week
ICU and hospital length of stay
Time frame: through admission, up to 1 month
postoperative complications
atrial fibrillation, bradyarrhythmia, myocardial infarction, cerebrovascular accident, acute renal failure and delirium
Time frame: according to ICD 10 on medical record, daily to discharge, up to 1 month
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