Cardiothoracic & vascular anesthesia
Impact of Limited Enhanced Recovery Pathway for Cardiac Surgery: A Single-Institution Experience
Authors' conclusion
Limited ERP implementation resulted in significantly improved perioperative outcomes.
Study context
- Population
- Patients undergoing open adult cardiac surgery at a university hospital374 per cohort matched
- Participants
- 1,058 patients
- Exposure
- Post-ERP vs pre-ERP
- Post-ERPn = 374
- Pre-ERPn = 374reference
Methodological detailspropensity-score matched, single-centre
- Propensity-score matched
- Single-centre
Further findings
Postoperative AF · propensity-matched
P = 0.032
| Outcome | Post-ERP | Pre-ERP | P value |
|---|---|---|---|
| Total ventilation hoursPropensity-matched | 6.8 | 7.8 | P = 0.006 |
| Postoperative opioid use (total MME)Propensity-matched | 32.5 | 47.5 | P < 0.001 |
Subjective pain
- Less subjective pain in post-ERP vs matched pre-ERP
Safety
- Less postoperative nausea and drowsiness in post-ERP vs matched pre-ERP
Original publication
Impact of Limited Enhanced Recovery Pathway for Cardiac Surgery: A Single-Institution Experience. J Cardiothorac Vasc Anesth. Published 20 October 2023. doi:10.
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