Enhanced Recovery After Elective Coronary Revascularization Surgery With Minimal Versus Conventional Extracorporeal Circulation: A Prospective Randomized Study

2013 ◽  
Vol 27 (5) ◽  
pp. 859-864 ◽  
Author(s):  
Kyriakos Anastasiadis ◽  
Christos Asteriou ◽  
Polychronis Antonitsis ◽  
Helena Argiriadou ◽  
Vassilios Grosomanidis ◽  
...  
Author(s):  
Daniel Sellers ◽  
George Djaiani

Coronary revascularization surgery has become extremely safe over the past 50 years, in terms of absolute mortality. However, in an era where quality of care and recovery are increasingly scrutinized, complications such as stroke, cognitive impairment, prolonged ventilation, renal impairment, wound infection, and even blood transfusion are increasingly important, with rapid recovery to normal function routinely expected by patients, care givers, and healthcare systems alike. These complications are ideally prevented or mitigated preoperatively, with a thorough system of preassessment, targeted evidence-based therapies to reduce morbidity, and careful risk assessment as part of a coherent perioperative approach. This chapter reviews the potential for each of these interventions to improve postoperative outcomes, in addition to an enhanced recovery process, and summarizes them in a schema ready to be introduced into practice.


2004 ◽  
Vol 78 (2) ◽  
pp. 506-512 ◽  
Author(s):  
Theodore Velissaris ◽  
Augustine T.M Tang ◽  
Matthew Murray ◽  
Rajnikant L Mehta ◽  
Peter J Wood ◽  
...  

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