Cardiothoracic & vascular anesthesia
Outcomes Related to Cardiac Enhanced Recovery After Surgery Protocol
Authors' conclusion
Implementing a C-ERAS protocol within a CABG surgery patient population reduced the amount of MME.
Study context
- Population
- Patients ≥18 years undergoing coronary artery bypass graft (CABG) surgery, Cleveland Clinic Akron General Hospital146 charts reviewed
- Participants
- 133 patients
- Exposure
- Post-C-ERAS vs pre-C-ERAS protocol implementation
- Post-C-ERASn = 67
- Pre-C-ERASn = 66reference
- Outcome
- Opioid use in morphine milligram equivalents (MME)
- Follow-up
- 96 hours postoperatively
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
MME
Post-C-ERAS
98
median · IQR 52–135
Pre-C-ERAS
211
median · IQR 130–290
P < 0.001
Observational data: associations, not effects.
Further findings
Median
| Outcome | Post-C-ERAS | Pre-C-ERAS | P value |
|---|---|---|---|
| MME before chest tube removal | 65 (IQR 43–100) | 129 (IQR 95–165) | P < 0.001 |
| MME after chest tube removal | 10 (IQR 0–40) | 68 (IQR 21–141) | P < 0.001 |
| MME, entire prescription at discharge | 0 (IQR 0–109) | 90 (IQR 0–210) | P = 0.005 |
Original publication
Outcomes Related to Cardiac Enhanced Recovery After Surgery Protocol. J Cardiothorac Vasc Anesth. Published 6 April 2023. doi:10.
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