Prospective Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Jun 12, 2019; 8(3): 28-35
Published online Jun 12, 2019. doi: 10.5492/wjccm.v8.i3.28
Implementation of a nurse-led protocol for early extubation after cardiac surgery: A pilot study
Giovanni Serena, Carlos Corredor, Nick Fletcher, Filippo Sanfilippo
Giovanni Serena, Carlos Corredor, Nick Fletcher, Filippo Sanfilippo, Cardiothoracic Intensive Care Unit, Intensive Care Directorate – St Georges Healthcare NHS Foundation Trust, London SW170QT, United Kingdom
Author contributions: Sanfilippo F designed the research and proposed the clinical audit; Serena G, Sanfilippo F, Fletcher N designed the protocol; Sanfilippo F, Serena G, Corredor C and Fletcher N collected and analysed the data; Sanfilippo F, Corredor C wrote the paper; Fletcher N reviewed the paper.
Institutional review board statement: As part of a clinical audit, this study received a waiver from the institutional review board.
Clinical trial registration statement: This audit has not been registered as a clinical trial.
Informed consent statement: Informed consent was not required, as data were collected as part of a clinical audit.
Conflict-of-interest statement: Authors declared no conflict-of-interest.
Data sharing statement: Authors will provide full data declared in this manuscript on request.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Filippo Sanfilippo, MD, PhD, EDIC, Consultant Anaesthetist, Cardiothoracic Intensive Care Unit, Intensive Care Directorate – St Georges Healthcare NHS Foundation Trust, Blackshaw Rd, London SW170QT, United Kingdom. filipposanfi@yahoo.it
Telephone: +44-20-87251504 Fax: +44-20-87252180
Received: February 14, 2019
Peer-review started: February 15, 2019
First decision: March 14, 2019
Revised: March 31, 2019
Accepted: May 21, 2019
Article in press: May 22, 2019
Published online: June 12, 2019
Processing time: 118 Days and 18 Hours
Core Tip

Core tip: Fast-track is emerging in cardiac surgery, and early extubation is a cornerstone for fast-track. Nurse-led extubation protocols may be introduced in clinical practice with different teaching techniques, aiming for early extubation.