Perioperative factors of fast track extubation success following coronary artery bypass graft surgery: a literature review

Introduction: Various studies have shown that fast-track cardiac care which its final aim is for early extubation after surgery, reduces hospital length of stays, cost, and post-operative morbidity rate. The main purpose of this study is to evaluate some perioperative factors as an independent predictor for a successful outcome for fast-track extubation (FTE) in patients Method: This study analyzed multiple references using the keyword "Fast track Extubation", "Perioperative Factors", and "CABG". Search engines such as PubMed, Google Scholar, ProQuest, and ClinicalKey were used to search for relevant papers from the last 15 years. We obtained total of 6 articles that meet our review criteria. We excluded some articles for not meeting our review methods considerations and by the year of publication that does not meet our standard. Result: A total of 6 studies were identified regarding fast tract extubation post-CABG procedure. Numerous risk factor has been identified for successful of fast tract intubation after intubation such as post-operative bleeding, aortic cross-clamp time, cardio-pulmonary bypass time, chronic obstructive pulmonary disease, atrial fibrillation, ejection fraction pre-operative, diabetes mellitus, renal function, and patient age. Conclusions: This study confirms that better perioperative profile such as age, good ejection fraction >40% has better chance for FTE success in patients undergoing CABG surgery.