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. 2023 Apr 15:14:205-213.
doi: 10.1016/j.xjon.2023.04.004. eCollection 2023 Jun.

State of the art: Proceedings of the American Association for Thoracic Surgery Enhanced Recovery After Cardiac Surgery Summit

Subhasis Chatterjee  1 , Rakesh C Arora  2 , Cheryl Crisafi  3 , Shannon Crotwell  4 , Marc W Gerdisch  5 , Nevin M Katz  6 , Kevin W Lobdell  7 , Vicki Morton-Bailey  8 , John P Pirris  9 , V Seenu Reddy  10 , Rawn Salenger  11 , Dirk Varelmann  12 , Daniel T Engelman  13
Affiliations

State of the art: Proceedings of the American Association for Thoracic Surgery Enhanced Recovery After Cardiac Surgery Summit

Subhasis Chatterjee et al. JTCVS Open. .

Abstract

Despite the benefits established for multiple surgical specialties, enhanced recovery after surgery has been underused in cardiac surgery. A cardiac enhanced recovery after surgery summit was convened at the 102nd American Association for Thoracic Surgery annual meeting in May 2022 for experts to convey key enhanced recovery after surgery concepts, best practices, and applicable results for cardiac surgery. Topics included implementation of enhanced recovery after surgery, prehabilitation and nutrition, rigid sternal fixation, goal-directed therapy, and multimodal pain management.

Keywords: cardiac surgery; enhanced recovery; perioperative care.

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Figures

None
Potential perioperative care bundles for enhanced recovery after CS.
Figure 1
Figure 1
Potential cardiac ERAS care bundles. When implementing a new CS ERAS program, the number and variety of potential care bundles can be overwhelming. Programs may benefit from starting with a manageable number of care bundles and building on success. NPO, Nothing by mouth; ETCO2, end-tidal carbon dioxide; CHG, Chlorhexidine gluconate; PONV, postoperative nausea and vomiting.
Figure 2
Figure 2
Sample care bundles and surgical phase tasks. To implement a new cardiac ERAS program at TriStar Centennial Medical Center, new protocols were created by applying selected cardiac ERAS care bundles across perioperative phases.
Figure 3
Figure 3
Perioperative nutrition score tool. A tool for identifying patients in need of perioperative nutritional intervention, based on a joint consensus report from the American Society for Enhanced Recovery and the Perioperative Quality Initiative.
See this image and copyright information in PMC

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