{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:02:29Z","timestamp":1784545349777,"version":"3.55.0"},"reference-count":14,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jcardioanesthesia.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiothoracic and Vascular Anesthesia"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1053\/j.jvca.2026.05.009","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T10:01:09Z","timestamp":1778580069000},"page":"2341-2350","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Operating Room Extubation in Major Aortic Surgery: Policy Change Leading to Improved Recovery"],"prefix":"10.1053","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5417-6392","authenticated-orcid":false,"given":"Dimitrios E.","family":"Magouliotis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Sicouri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Baudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Yamashita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalin","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey","family":"Herman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Berguson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basel","family":"Ramlawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.jvca.2026.05.009_bib0001","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/j.athoracsur.2023.12.006","article-title":"Perioperative care in cardiac surgery: A joint consensus statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and the Society of Thoracic Surgeons (STS)","volume":"117","author":"Grant","year":"2024","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2026.05.009_bib0002","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1053\/j.jvca.2025.12.007","article-title":"Ultrafast track pathway after low-risk cardiac surgery enables intensive care unit stepdown within 6 hours: A feasible model for anesthesia-led recovery","volume":"40","author":"Cotovanu","year":"2026","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"10.1053\/j.jvca.2026.05.009_bib0003","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.athoracsur.2018.09.034","article-title":"Early extubation without increased adverse events in high-risk cardiac surgical patients","volume":"107","author":"Flynn","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2026.05.009_bib0004","first-page":"6","article-title":"Fast-track extubation after cardiac surgery: A narrative review","volume":"13","author":"Christophides","year":"2026","journal-title":"J Cardiovasc Dev Dis"},{"key":"10.1053\/j.jvca.2026.05.009_bib0005","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.athoracsur.2023.09.031","article-title":"Routine extubation in the operating room after isolated coronary artery bypass","volume":"117","author":"James","year":"2024","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2026.05.009_bib0006","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.athoracsur.2024.01.021","article-title":"EACTS\/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ","volume":"118","author":"Czerny","year":"2024","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2026.05.009_bib0007","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.xjon.2022.07.006","article-title":"A 3-hour fast-track extubation protocol for early extubation after cardiac surgery","volume":"12","author":"Helwani","year":"2022","journal-title":"JTCVS Open"},{"key":"10.1053\/j.jvca.2026.05.009_bib0008","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1136\/bmjqs-2013-001862","article-title":"Systematic review of the application of the plan-do-study-act method to improve quality in healthcare","volume":"23","author":"Taylor","year":"2014","journal-title":"BMJ Qual Saf"},{"key":"10.1053\/j.jvca.2026.05.009_bib0009","series-title":"Leading change","author":"Kotter","year":"1996"},{"key":"10.1053\/j.jvca.2026.05.009_bib0010","doi-asserted-by":"crossref","first-page":"957","DOI":"10.23736\/S0375-9393.24.18267-3","article-title":"Recommendations for fast-track extubation in adult cardiac surgery patients: A consensus statement","volume":"90","author":"Silvetti","year":"2024","journal-title":"Minerva Anestesiol"},{"key":"10.1053\/j.jvca.2026.05.009_bib0011","doi-asserted-by":"crossref","first-page":"916","DOI":"10.2215\/CJN.11501015","article-title":"How to sustain change and support continuous quality improvement","volume":"11","author":"Silver","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1053\/j.jvca.2026.05.009_bib0012","doi-asserted-by":"crossref","first-page":"573","DOI":"10.7326\/0003-4819-147-8-200710160-00010","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"147","author":"von Elm","year":"2007","journal-title":"Ann Intern Med"},{"key":"10.1053\/j.jvca.2026.05.009_bib0013","unstructured":"Peterson M, Hage A, Zias E, et al. Extubation in the operating room for patients undergoing aortic surgery. Presented at the 105th Annual Meeting of the American Association for Thoracic Surgery; Seattle, WA; May 2-5, 2025."},{"key":"10.1053\/j.jvca.2026.05.009_bib0014","doi-asserted-by":"crossref","DOI":"10.1016\/j.xjon.2025.11.011","article-title":"Pushing the envelope: Routine operating room extubation in aortic surgery","volume":"29","author":"Salna","year":"2026","journal-title":"JTCVS Open"}],"container-title":["Journal of Cardiothoracic and Vascular Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1053077026003812?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1053077026003812?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:05:16Z","timestamp":1784541916000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1053077026003812"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S1053077026003812"],"URL":"https:\/\/doi.org\/10.1053\/j.jvca.2026.05.009","relation":{},"ISSN":["1053-0770"],"issn-type":[{"value":"1053-0770","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Operating Room Extubation in Major Aortic Surgery: Policy Change Leading to Improved Recovery","name":"articletitle","label":"Article Title"},{"value":"Journal of Cardiothoracic and Vascular Anesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jvca.2026.05.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}