Abstract：
Early extubation after pediatric cardiac surgery has come full circle from being practiced in the early days of pediatric cardiac surgery, falling out of favor with opioid-heavy cardiostable anesthesia, and resurfacing again in more recent times as part of enhanced recovery after surgery practice. Early extubation is variably defined, but is mostly accepted as extubation that occurs within 6-8 h from the end of surgery. In recent years, the debate has shifted from early extubation in the intensive care unit to immediate extubation in the operating theatre. In this review, we examined the benefits and pitfalls of early and immediate extubation, factors that influence the success of early extubation, and potential guidelines for practice and implementation.
摘要：
小儿心脏手术后的早期拔管已经从小儿心脏手术早期开始实践，用阿片类药物重度心脏稳定麻醉失宠，并在最近的时间再次重铺，作为增强手术后恢复的一部分。早期拔管的定义是可变的，但大多数被认为是在手术结束后6-8小时内发生的拔管。近年来,辩论已从重症监护病房的早期拔管转变为手术室的立即拔管。在这次审查中,我们研究了早期和立即拔管的好处和陷阱，影响早期拔管成功的因素，以及潜在的实践和实施指南。
