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. 2016 Sep 12;2016(9):CD003587. doi: 10.1002/14651858.CD003587.pub3

Quasha 1980.

Methods Parallel‐group randomized controlled trial, conducted in the United States. Study dates not reported
Participants 38 elective coronary artery bypass graft patients with normal and slightly impaired left ventricular function
Interventions Early extubation within 8 hours of surgery in 18 participants
Usual care: extubation applied in the morning of the first day after surgery in 20 participants
Details of weaning protocol and who decided when to extubate were not given.
Outcomes Risk of tracheal reintubation
Risk of postoperative myocardial infarction (increase in myocardial enzyme values, positive technetium pyrophosphate scan and meeting predefined electrocardiographic criteria)
Risk of major bleeding (necessitating surgical control)
Risk of stroke
Time to extubation
Length of stay in the ICU
Notes Inhalation‐based anaesthesia was the same in both groups, but weaning criteria were applied earlier in the early extubation group. No power calculation was done. Study was supported, in part, by UPHS Grant (grant number: GMS‐15571‐10,11). Details of any declarations of conflict of interest among study authors were not provided.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No details given
Allocation concealment (selection bias) Unclear risk No details given
Blinding (performance bias and detection bias) 
 All outcomes Low risk Assessors for diagnosis of myocardial infarction were blinded to group allocation.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Two participants failed to meet the early extubation criteria and were excluded from data analysis on time to extubation.
Selective reporting (reporting bias) Low risk Reported all outcomes collected
Other bias Low risk Baseline characteristics were similar for age, weight, gender, preoperative ventricular function and preoperative pulmonary function.