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. |
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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 |
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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. |