Ultrafast-Track Extubation

Operating room extubation or ultrafast-track (<1 h) have been recently investigated, with published literature suggesting the practice to be both feasible and safe, in institution with greater experience, if an appropriate patients selection was done and if a multidisciplinary protocols were used. A failure in an Ultrafast-track extubation could be fatal for patient, because it could get worse the postoperative bleeding, the hemodynamic status, and the metabolic condition. The decision to not extubate in the operating room is mainly based on preoperative and intraoperative conditions. Some studies identified the predictor factors of ultrafast-track failure. To date, it is mandatory to identify the appropriate predictor failure scoring of ultrafast-track extubation or establish a consensus intraoperative anesthetic to apply to a selected patient population in a highly specialized program.