Abstract
Feature Editor's Introduction—Although 24-hour ventilator times have remained the quality metric for Society for Thoracic Surgeons (STS) Star rankings, it has become apparent over the past several years that the association between vent time and morbidity occurs much earlier.1 The reporting of a 6-hour metric for the past 20 years in the STS Adult Cardiac Surgery Database (ACSD) was a recognition of its benefits2 and pushed us to earlier extubations, such that ventilation time <6 hours has doubled since 2005, currently being accomplished in >60% of isolated coronary artery bypass grafting (CABG) surgeries (2017-20 ACSD Report).
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