Fast-Track Extubation Eligibility Score (Cardiac Surgery)

Fast-Track Extubation Eligibility Score (Cardiac Surgery) Use this tool to estimate readiness for early or operating-room extubation after adult cardiac surgery. It combines evidence-informed bedside criteria (hemodynamics, gas exchange, bleeding, neurological status) with perioperative predictors reported in the literature to categorize eligibility as Eligible now, Borderline—optimize, or Not eligible now. Fast-Track Extubation (Cardiac Surgery): Explanation and Clinical Context Early extubation (commonly within 6–8 hours, or in the operating room) is a cornerstone of Enhanced Recovery After Cardiac Surgery (ERACS) programs.

Key readiness criteria include low vasoactive support (VIS ≤16.5), controlled bleeding (<150 mL/h), normothermia, intact neurological function, and adequate gas exchange. Favorable perioperative predictors include younger age, lower BMI, higher albumin, absence of lung disease and diabetes, less-invasive or isolated CABG surgery, elective case, and lower fentanyl dose. The score stratifies readiness into actionable categories (Eligible, Borderline, Not eligible) and provides automatic safety flagging for instability.