Enhanced Recovery After Cardiac Surgery: Where Do We Stand?
| Autor: | Hermann Reichenspurner, Johanna Konertz, Johannes Petersen, E. Girdauskas, Leonie Schulte-Uentrop, Jens Brickwedel, Alexander Gebauer |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Convalescence media_common.quotation_subject Cardiac surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Enhanced recovery 030220 oncology & carcinogenesis Anesthesiology Perioperative care medicine 030212 general & internal medicine Intensive care medicine business Enhanced recovery after surgery Hospital stay media_common |
| Zdroj: | Current Anesthesiology Reports. 11:501-506 |
| ISSN: | 2167-6275 |
| Popis: | Purpose of Review Enhanced recovery after surgery (ERAS) protocols are multimodal and multi-professional strategies to enhance postoperative convalescence and thereby reduce the length of hospital stay and hospital-associated complications. This review provides an up-to-date overview about basic principles of enhanced recovery after surgery protocols, their transfer into cardiac surgery, and their current state of evidence. It is supposed to offer clinical implications for further adaptations and implementations of such protocols in cardiac surgery. Recent Findings ERAS protocols are a story of success in numerous surgical disciplines and led to a paradigm shift in perioperative care and the establishment of ERAS Cardiac Society, a non-profit organization that provides evidence-based guidelines and recommendations for further development of enhanced recovery protocols, trying to harmonize the many existing efforts of individual approaches for cardiac surgery. Summary Promising results from comprehensive ERAS protocols in cardiac surgery emerged. Nevertheless, there is a paucity of high-quality data about holistic approaches in cardiac surgery and further efforts need to be promoted. |
| Databáze: | OpenAIRE |
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