OUTCOMES OF FAST TRACKED AND NON FAST TRACKED PATIENTS IN ADULT CARDIAC SURGERY INTENSIVE CARE UNIT AFIC NIHD, RAWALPINDI

Abstract

Objective: The purpose of this study was to evaluate the status of fast tracking after open heart procedures and suitability of existing anesthetic technique for fast-track extubation, length of ICU stay, in hospital mortality in fast tracked patients and to evaluate the causes of delayed extubation.

Study Design: Descriptive comparative study.

Place and Duration of Study: Armed Forces Institute Cardiology and National Institute of Heart Diseases from January 2015 to June 2015 Material and Methods: The study was designed as a descriptive comparative study. The study participants were divided into two groups depending on their extubation time. Fast Track (FT) Group consisted of the patients who were extubated within 6 hours and Non Fast Track (NFT) group consisted of patients with extubation time greater than 6 hours. After standard anesthesia and surgical technique, we reviewed the duration of mechanical ventilation, length of intensive care unit stay, requirement of re-ventilation, and incidence of in-hospital mortality in patients undergoing open heart surgery during six months period.

Results: A total of 140 patients were enrolled in this study. FT group (<6 hours) comprised of 89 (64%) and NFT group (>6 hours) comprised of 51 (36%) patients each. Mean ventilation time in FT group was 4.2 ± 1.3 hours and in NFT group was 14.5 ± 13.4 (p value 0.03). .................

Conclusion: Fast track technique greatly minimizes the postoperative complications in patients, leading to benefits of early recovery and short ICU stay.