Abstract
Cardiac surgery patients traditionally remained intubated overnight; however, fast-track protocols were developed for extubation 12 h and then 6 h postoperatively.1 Benefits of shorter intubation time include reduced Critical Care length of stay with no apparent harmful effects.1 Multidisciplinary extubation protocols have been shown to reduce postoperative ventilation time in cardiac surgery patients.2 Our Critical Care Unit uses a multidisciplinary extubation protocol where routine cases have a sedation break at 2 h after surgery and extubation by 6 h. We audited our compliance with this target and looked at the reasons why these targets were not reached.
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