Implementing a thoracic enhanced recovery with ambulation after surgery program: key aspects and challenges
| Autor: | Joby Chandy, Sandeep J. Khandhar, Marissa Anne Mayor, Hiran C. Fernando |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Protocol (science) medicine.medical_specialty business.industry Review Article 030204 cardiovascular system & hematology Surgery 03 medical and health sciences 0302 clinical medicine Patient satisfaction 030228 respiratory system Enhanced recovery Cardiothoracic surgery Early ambulation medicine Respiratory function Metric (unit) Fast track business |
| Zdroj: | Journal of thoracic disease. 10(Suppl 32) |
| ISSN: | 2072-1439 |
| Popis: | Enhanced recovery after surgery (ERAS) protocols aim to improve operative outcomes by focusing on perioperative care, including early mobilization, limitation of narcotics, and maintenance of fluid balance. We implemented a T-ERAAS (Thoracic-Early Recovery with Ambulation After Surgery) protocol which focused on early ambulation, with the rationale that a patient's mobility may be a reproducible and measurable metric for their overall status-pain control, respiratory function, cardiac function, and patient satisfaction. We set a benchmark distance of 250 feet for our early ambulation goal and redefined "early" as within the first hour post extubation. We describe some of the major aspects to our program as well as some of the challenges and successes during our 8-year experience following the implementation of this program. |
| Databáze: | OpenAIRE |
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