Journal of cardiac surgery
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Review Meta Analysis
Early extubation after pediatric cardiac surgery: systematic review, meta-analysis, and evidence-based recommendations.
To derive evidence-based recommendations regarding early extubation strategy after congenital cardiac surgery. ⋯ Early extubation appears safe and is associated with reduction in length of ICU and hospital stay without adverse effects on mortality or morbidity. However, studies to date are poor, heterogeneous, and not suitable to determine a causal effect. Therefore, there is need for a well-designed randomized clinical trial to demonstrate the potential significant benefits of early extubation.