title: [Ultrafast-track Anesthesia (UFTA) in the Operating Room and the Anesthetic Management for Off-pump Coronary Artery Bypass (OPCAB)].
abstract: Currently, the immediate extubation in the operating room is necessary for the patients undergoing off-pump coronary artery bypass (OPCAB). To achieve UFTA, anesthesiologists should control general anesthesia. We report the case series of UFTA for the patients undergone OPCAB at our hospital. Forty patients receiving OPCAB between April 2012 and April 2014 were retrospectively analyzed. We divided the patients into those extubated in the operating room (Extubation group) and those not (Intubation group). The extubation criteria included adequate revascularization, adequate hemostasis, ratio between Pa(O2) and FI(O2) more than 250, body temperature above 36 degrees C, stable hemodynamics without noradrenaline, without IABP, and normal postoperative chest X-ray. Twenty-three patients (70% of the scheduled and 20% of the emergency patients) were included in our criteria and could be extubated in the operating room. One patient was re-intubated due to asthma attack following extubation in the operating room. The sucess rate of immediate extubation was 95.7% by our criteria. There were no significant differences in age, sex, BMI, duration of anesthesia, and amount of hemorrhage between the 2 groups. We believe that UFTA for OPCAB patients may be possible under carefull decision by extubation criteria.
authors.forename: Mika
authors.initials: M
authors.lastname: Shimosaka
authors.forename: Motoki
authors.initials: M
authors.lastname: Inoue
authors.forename: Hisato
authors.initials: H
authors.lastname: Takahashi
authors.forename: Masao
authors.initials: M
authors.lastname: Takahashi
authors.forename: Keisuke
authors.initials: K
authors.lastname: Miyajima
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Hatada
mesh_terms: D000368:Aged; D060666:Airway Extubation; D000768:Anesthesia, General / Q000379:methods*; D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms; D012189:Retrospective Studies