Fast‑track extubation in patients after intracranial hematoma surgery

González‑Cordero,Gustavo; Garduño‑Chávez,Belia  Inés; Palacios‑Ríos,Dionisio; Estrada‑Solís,Yesenia  Nohemí; Rodríguez‑Sánchez,Iram  Pablo; Martínez‑Ponce‑de‑León,Ángel   Raymundo

doi:10.3892/etm.2020.8507

April-2020 Volume 19 Issue 4

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April-2020 Volume 19 Issue 4

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Article Open Access

Fast‑track extubation in patients after intracranial hematoma surgery

Authors:
- Gustavo González‑Cordero
- Belia Inés Garduño‑Chávez
- Dionisio Palacios‑Ríos
- Yesenia Nohemí Estrada‑Solís
- Iram Pablo Rodríguez‑Sánchez
- Ángel Raymundo Martínez‑Ponce‑de‑León
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Affiliations: Servicio de Anestesiología, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario ‘Dr Jose Eleuterio Gonzalez, Monterrey, Nuevo León 64460, Mexico, Laboratorio de Fisiología Molecular y Estructural, Universidad Autónoma de Nuevo León, Facultad de Ciencias Biológicas, San Nicolás de los Garza, Nuevo León 66450, Mexico, Servicio de Neurocirugía, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario ‘Dr Jose Eleuterio Gonzalez’, Monterrey, Nuevo León 64460, Mexico

Copyright: © González‑Cordero et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 2563-2569
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Published online on: February 10, 2020

https://doi.org/10.3892/etm.2020.8507
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Abstract

Early extubation, also known as fast track, is desirable after intracranial hematoma surgery to avoid ventilator‑associated complications associated with admission to an intensive care unit (ICU). The objective of the present study was to determine whether ICU stay and ventilator‑associated complications are reduced in patients who received surgery for intracranial hematoma if they are extubated early. A total of 17 patients were randomly assigned to two groups: In Group 1, patients were extubated early or using the fast track method, while those in Group 2 were conventionally extubated at a later stage and were managed at the ICU. Patients from both groups were assessed on admission to the operating room per the established standards and after the selection criteria had been confirmed, general anesthesia was applied. Extubation time and hemodynamic stability (number of anesthetic adjustments required to maintain hemodynamic parameters within 20% of the predicted values) were assessed post‑operatively. Patients in the conventional group (n=10) were transferred to the ICU and extubated at 8 h post‑operatively; hemodynamic stability and the presence of complications were evaluated. The fast track group had no complications associated with ventilation or any other parameter. All patients extubated in a conventional manner and who were transferred to the ICU presented with complications, including seizures, aspiration, atelectasis or failed extubation. In the future, fast track should be regarded as a routine technique in patients who meet the required criteria, so that they may be discharged quickly and with fewer complications. The present study was authorized by the ethics committee of the hospital and the research sub‑directorate with the number AN14‑003; it was submitted to and approved by the ISRCTN registry for clinical trials (ID, ISRCTN16924441).

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Fast‑track extubation in patients after intracranial hematoma surgery

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