A Scoping Review of Factors Associated with Delayed Extubation in Post Cardiac Surgery Patients

Universitas Padjadjaran Publishes Scoping Review on Factors Associated with Delayed Extubation After Cardiac Surgery

Delayed extubation (DE), the prolonged need for mechanical ventilation following cardiac surgery, is a significant clinical concern linked to increased morbidity, mortality, longer ICU stays, and higher healthcare costs. Researchers from Universitas Padjadjaran, led by Regina Indah Kumalasari and colleagues, conducted a comprehensive scoping review analyzing eight studies with over 13,800 patients to identify key factors influencing DE.

The review categorized influential factors into three groups: preoperative factors (age ≥ 60 years, ejection fraction < 50%), intraoperative factors (surgery duration ≥ 7 hours, use of intra-aortic balloon pump (IABP), sedatives), and postoperative factors (B-type natriuretic peptide ≥ 806 pg/mL). The leading causes of delayed extubation were hemodynamic instability requiring increased inotropic support, reduced consciousness or drowsiness, and postoperative bleeding.

Understanding these factors enables healthcare providers to optimize extubation timing and improve patient recovery after cardiac surgery. This research provides a foundation for developing targeted interventions and encourages further studies focused on DE in cardiac surgery patients.

This study contributes to the advancement of SDG 3 (Good Health and Well-being) by supporting improved intensive care outcomes and patient safety.

📖 Read more: https://doi.org/10.2147/VHRM.S479352