scholarly journals The Enhanced Recovery After Surgery in Cardiac Surgery Revolution

JAMA Surgery ◽  
2019 ◽  
Vol 154 (8) ◽  
pp. 767 ◽  
Author(s):  
Olle Ljungqvist
Keyword(s):  
Cardiac Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery

scholarly journals Economic impact of enhanced recovery after surgery protocol in minimally invasive cardiac surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Johannes Petersen ◽  
Benjamin Kloth ◽  
Johanna Konertz ◽  
Jens Kubitz ◽  
Leonie Schulte-Uentrop ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Cost Savings ◽  
Postoperative Recovery ◽  
Valve Surgery ◽  
Control Group ◽  
Heart Valve Surgery ◽  
Eras Protocol

Abstract Background ERAS (Enhanced Recovery After Surgery) is a multidisciplinary and integrative approach with the goal of optimizing the postoperative recovery. We aimed to analyze the economic impact of a newly established ERAS protocol in minimally invasive heart valve surgery at our institution. Methods ERAS protocol was implemented in 61 consecutive patients who were referred for elective minimally-invasive aortic or mitral valve surgery, between February 1, 2018 and March 31, 2019 (ERAS-group). Another 69 patients who underwent elective minimally-invasive heart valve surgery during the same time period were managed according to the hospital standards (Control-group). A detailed cost comparison analysis was carried out from a hospital perspective using a micro-costing approach. Results The total in-hospital stay was significantly shorter in the ERAS-group compared to the Control-group (6.1 ± 2.6 vs 7.7 ± 3.8 days; p = 0.008) resulting in significant cost savings of €1087.2 per patient (p = 0.003). Due to the intensified physiotherapy in the ERAS protocol, the costs for physiotherapy were €94.3 higher compared to the Control-group (p < 0.001). The total costs in the ERAS cohort were €11,200.0 ± 3029.6/patient compared to € 13,109.8 ± 4527.5/patient in the Control-Group resulting in cost savings of €1909.8 patient due to the implementation of the ERAS protocol (p = 0.006). Conclusion Implementation of an ERAS-protocol in minimally-invasive cardiac surgery can be carried out safely with a fast postoperative recovery of the patient. ERAS results in a financial benefit of up to €1909 per patient and therefore will play a key role in modern cardiac surgery in the near future.

M34 Enhanced Recovery After Surgery (ERAS) Pathway for Cardiac Surgery: The First Australian Experience

2021 ◽  
Vol 30 ◽  
pp. S14
Author(s):  
K. Marchand ◽  
V. Aguirre ◽  
M. Worthington ◽  
D. Chew ◽  
V. Fitton ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Australian Experience

Enhanced Recovery After Surgery: A Narrative Review of its Application in Cardiac Surgery

2020 ◽  
Vol 109 (6) ◽  
pp. 1937-1944 ◽  
Author(s):  
Ronald Baxter ◽  
John Squiers ◽  
William Conner ◽  
Michael Kent ◽  
James Fann ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Narrative Review

scholarly journals Safe and effective protocol for discharge 3 days after cardiac surgery

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Omar Asdrúbal Vilca Mejia ◽  
Gabrielle Barbosa Borgomoni ◽  
Nilza Lasta ◽  
Mariana Yumi Okada ◽  
Mariana Silva Biason Gomes ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Hospital Stay ◽  
Latin American ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Length Of Hospital Stay ◽  
Postoperative Stay ◽  
Eras Protocol ◽  
The Impact

AbstractThe Enhanced Recovery After Surgery (ERAS) protocol affected traditional cardiac surgery processes and COVID-19 is expected to accelerate its scalability. The aim of this study was to assess the impact of an ERAS-based protocol on the length of hospital stay after cardiac surgery. From January 2019 to June 2020, 664 patients underwent consecutive cardiac surgery at a Latin American center. Here, 46 patients were prepared for a rapid recovery through a multidisciplinary institutional protocol based on the ERAS concept, the “TotalCor protocol”. After the propensity score matching, 46 patients from the entire population were adjusted for 12 variables. Patients operated on the TotalCor protocol had reduced intensive care unit time (P < 0.025), postoperative stay (P ≤ 0.001) and length of hospital stay (P ≤ 0.001). In addition, there were no significant differences in the occurrence of complications and death between the two groups. Of the 10-central metrics of TotalCor protocol, 6 had > 70% adherences. In conclusion, the TotalCor protocol was safe and effective for a 3-day discharge after cardiac surgery. Postoperative atrial fibrillation and renal failure were predictors of postoperative stay > 5 days.

scholarly journals Glycemia Control Pada Pasien Paska Pembedahan Jantung: Studi Kasus

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Ismail Fahmi ◽  
Elly Nurachmah ◽  
Tuti Herawati
Keyword(s):  
Acute Kidney Injury ◽  
Cardiac Surgery ◽  
Glycemic Control ◽  
Heart Surgery ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Kidney Injury ◽  
Major Complication ◽  
Nursing Intervention ◽  
Glucose Levels

ABSTRAKCardiac surgery-associated acute kidney injury (CSA-AKI) merupakan komplikasi utama dari pembedahan jantung. Salah satu kondisi yang dapat menyebabkan terjadinya CSA-AKI pada pasien bedah jantung adalah ketidakstabilan kadar glukosa darah. Protokol Enhanced Recovery After Surgery (ERAS) memaparkan pentingnya glycemia control untuk mencegah komplikasi terjadinya CSA-AKI. Artikel ini merupakan studi kasus yang menggambarkan manajemen keperawatan : glycemic control untuk mencegah terjadinya CSA-AKI pada pasien bedah jantung. Setelah dilakukan intervensi keperawatan berupa glycemia control, pasien tidak mengalami CSA-AKI. Manajemen gula darah pada melalui manajemen diet dan kolaborasi manajemen insulin merupakan rekomendasi ERAS dalam mencegah CSA-AKI pada pasien pembedahan jantung.  ABSTRACTCardiac surgery-associated acute kidney injury (CSA-AKI) is a major complication of heart surgery. One of the conditions that can cause CSA-AKI in cardiac surgery patients is the instability of blood glucose levels. The Enhanced Recovery After Surgery (ERAS) protocol explains the importance of glycemic control to prevent complications from CSA-AKI. This article is a case study describing nursing management: glycemic control to prevent CSA-AKI in cardiac surgery patients. After the nursing intervention in the form of glycemia control, the patient did not experience CSA-AKI. Blood sugar management through diet management and insulin management collaboration is ERAS recommendations in preventing CSA-AKI in cardiac surgery patients.

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