Reducing Intubation Time in Adult Cardiothoracic Surgery Patients With a Fast-track Extubation Protocol

Author(s): Myra F. Ellis, MSN, RN, CCRN-CSC, Heather Pena, BSN, RN, CCRN, Allen Cadavero, PhD, RN, CCRN, CWON, Debra Farrell, RN, CCRN-CSC, Mollie Kettle, BSN, RN, CCRN-CSC, Alexandra R. Kaatz, BSN, RN, SRNA, Tonda Thomas, RN, CCRN-CSC, Bradi Granger, PhD, RN, Kamrouz Ghadimi, MD

Contact Hours 1.00

CERP A 1.00

Expires May 26, 2024

Topics: Cardiovascular, Pulmonary

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Prolonged intubation after cardiac surgery increases the risk of morbidity and mortality and lengthens hospital stays. Factors that influence the ability to extubate patients with speed and efficiency include the operation, the patient’s baseline physiologic condition, workflow processes, and provider practice patterns. Progression to extubation lacked consistency and coordination across the team. The purpose of the project was to engage interprofessional stakeholders to reduce intubation times after cardiac surgery by implementing fast-track extubation and redesigned care processes.


  • Identify the importance of reducing intubation times in cardiac surgery patients.
  • Distinguish process, people, and patient barriers to extubation in postoperative cardiac surgery patients.
  • Explain the advantage of using a behavioral change framework to improve staff engagement in the improvement initiative.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


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Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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