• Cíntia Yukie Shoji, Luciana Castilho de Figuereido, Eveline Maria Calixtre, Rodrigues Cristiane Delgado Alves CDA Departamento de Cirurgia, Universidade Estadual de Campinas - Campinas (SP), Brasil., Falcão Antonio Luis Eiras ALE Departamento de Cirurgia, Universidade Estadual de Campinas - Campinas (SP), Brasil., Pedro Paulo Martins, Ana Paula Ragonete Dos Anjos, and Desanka Dragosavac.
• Departamento de Cirurgia, Universidade Estadual de Campinas - Campinas (SP), Brasil.
• Rev Bras Ter Intensiva. 2017 Apr 1; 29 (2): 180-187.

ObjectivesTo analyze patients after cardiac surgery that needed endotracheal reintubation and identify factors associated with death and its relation with the severity scores.MethodsRetrospective analysis of information of 1,640 patients in the postoperative period of cardiac surgery between 2007 and 2015.ResultsThe reintubation rate was 7.26%. Of those who were reintubated, 36 (30.3%) underwent coronary artery bypass surgery, 27 (22.7%) underwent valve replacement, 25 (21.0%) underwent correction of an aneurysm, and 8 (6.7%) underwent a heart transplant. Among those with comorbidities, 54 (51.9%) were hypertensive, 22 (21.2%) were diabetic, and 10 (9.6%) had lung diseases. Among those who had complications, 61 (52.6%) had pneumonia, 50 (42.4%) developed renal failure, and 49 (51.0%) had a moderate form of the transient disturbance of gas exchange. Noninvasive ventilation was performed in 53 (44.5%) patients. The death rate was 40.3%, and mortality was higher in the group that did not receive noninvasive ventilation before reintubation (53.5%). Within the reintubated patients who died, the SOFA and APACHE II values were 7.9 ± 3.0 and 16.9 ± 4.5, respectively. Most of the reintubated patients (47.5%) belonged to the high-risk group, EuroSCORE (> 6 points).ConclusionThe reintubation rate was high, and it was related to worse SOFA, APACHE II and EuroSCORE scores. Mortality was higher in the group that did not receive noninvasive ventilation before reintubation.

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