Cardiothoracic & vascular anesthesia
Feasibility of a Postanesthesia Care Unit–Based Enhanced Recovery Pathway after Elective Hemiarch Replacement with Circulatory Arrest
Authors' conclusion
A PACU-based ERP following elective hemiarch replacement with CA appears to be feasible and safe.
Study context
- Population
- Adults undergoing elective hemiarch replacement with circulatory arrest managed with a postanesthesia care unit (PACU)-based Enhanced Recovery Pathway (ERP), university-affiliated tertiary hospital, February 2013–February 2025of 875 aortic arch surgery with circulatory arrest (CA)
- Participants
- 152 adults
- Exposure
- ERP Success vs ERP Failure
- ERP Successn = 125reference
- ERP Failuren = 27
- Outcome
- ERP success
Methodological detailssingle-center, observational
- Single-center
- Observational
Main finding
As reported in the abstract
ERP successful
125
82.3%
Extubated within first 6 h postoperatively
93.5%
Observational data: associations, not effects.
Further findings
Extubation time
P = 0.002
Hospital LOS
P < 0.01
Independent predictors of ERP failure
| OR (95% CI) | P value | ||
|---|---|---|---|
| Intraoperative RBC transfusionCutoff ≥1 unit | 1.77 (1.19–2.63) | P = 0.005 | |
| EuroSCORE IICutoff ≥4.8 | 1.13 (1.01–1.26) | P = 0.033 | |
| 0.20.5125Odds ratio (log scale) |
In-hospital mortality
- No in-hospital mortality
Safety
Reintubation
P < 0.001
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Feasibility of a Postanesthesia Care Unit–Based Enhanced Recovery Pathway after Elective Hemiarch Replacement with Circulatory Arrest. J Cardiothorac Vasc Anesth. Published 20 April 2026. doi:10.
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