Perioperative medicine & outcomes

Role of Cardiac Anesthesiologists in Intraoperative Enhanced Recovery After Cardiac Surgery (ERACS) Protocol: A Retrospective Single-Center Study Analyzing Preliminary Results of a Yearlong ERACS Protocol Implementation

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The ERACS is achievable after the careful implementation of a series of measures.

Study context

Population
Cardiac surgical patients
Exposure
ERACS protocol vs historic cohort before ERACS implementation
Outcome
Time to extubation, postoperative opioid consumption, ICU LOS, and incidence of postoperative complications (eg, PONV, bleeding, ICU readmission, delirium)
Methodological detailssingle-centre, historic control cohort, chart review
  • Single-centre
  • Historic control cohort
  • Chart review

Main finding

As reported in the abstract

Lesser mechanical ventilation with ERACS

2.5 hours less

Shorter intensive care unit (ICU) stays with ERACS

5 hours less

Observational data: associations, not effects.

Further findings

Blood transfusion — ERACS
0 events

Hospital length of stay (LOS)

Shorter hospital LOS with ERACS
1 day

Provider survey (anesthesiologists and ICU providers)

Agreed ERACS protocol should be continued
92%
Reported superior pain control in ERACS patients
61%

Original publication

Role of Cardiac Anesthesiologists in Intraoperative Enhanced Recovery After Cardiac Surgery (ERACS) Protocol: A Retrospective Single-Center Study Analyzing Preliminary Results of a Yearlong ERACS Protocol Implementation. J Cardiothorac Vasc Anesth. Published 11 November 2022. doi:10.1053/j.jvca.2022.11.007

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