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
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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