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Canadian Journal of Anesthesia, Vol 26, 173-180, Copyright © 1979 by Canadian Anesthesiologists' Society

Intubation and Other Experiences in Cardiac Surgery: The Consumer's Views

B. PAIEMENT 1, M. BOULANGER 1, C. W. JONES 2, and M. ROY 3

1 University of Montreal; Attending Anesthesiologists, Montreal Heart Institute, Montreal, Quebec, Canada
2 Department of Surgery, Montreal Heart Institute, Montreal, Quebec, Canada
3 Montreal Heart Institute, Montreal, Quebec, Canada

Recent publications have advocated earlier weaning and early extubation of the trachea in patients after cardiac surgery. Greater comfort of the patients is one of the advantages claimed for this policy. One hundred consecutive adult patients were questioned on the fifth postoperative day to assess the relative comfort or discomfort of the patients during tracheal intubation and ventilation. Overnight tracheal intubation and ventilation were easily tolerated by over 90 per cent of patients who had received morphine and diazepam. There was a high incidence of amnesia. Some of the other claimed advantages appear inconclusive and further study is desirable to elucidate the effect of early removal of the tracheal tube upon the indicence of pulmonary complications.






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Copyright © 1979 by the Canadian Anesthesiologists' Society.