Controversies in enhanced recovery after cardiac surgery
Abstract Advances in cardiac surgical operative techniques and myocardial protection have dramatically improved outcomes in the past two decades. An unfortunate and unintended consequence is that 80% of the preventable morbidity and mortality following cardiac surgery now originates outside of the o...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | Perioperative Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13741-022-00250-7 |
| _version_ | 1818266800660414464 |
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| author | Andrew D. Shaw Nicole R. Guinn Jessica K. Brown Rakesh C. Arora Kevin W. Lobdell Michael C. Grant Tong J. Gan Daniel T. Engelman for the Perioperative Quality Initiative (POQI) and Enhanced Recovery after Surgery–Cardiac (ERAS→-Cardiac) investigators |
| author_facet | Andrew D. Shaw Nicole R. Guinn Jessica K. Brown Rakesh C. Arora Kevin W. Lobdell Michael C. Grant Tong J. Gan Daniel T. Engelman for the Perioperative Quality Initiative (POQI) and Enhanced Recovery after Surgery–Cardiac (ERAS→-Cardiac) investigators |
| author_sort | Andrew D. Shaw |
| collection | DOAJ |
| description | Abstract Advances in cardiac surgical operative techniques and myocardial protection have dramatically improved outcomes in the past two decades. An unfortunate and unintended consequence is that 80% of the preventable morbidity and mortality following cardiac surgery now originates outside of the operating room. Our hope is that a renewed emphasis on evidence-based best practice and standardized perioperative care will reduce overall morbidity and mortality and improve patient-centric care. The Perioperative Quality Initiative (POQI) and Enhanced Recovery After Surgery–Cardiac Society (ERAS® Cardiac) have identified significant evidence gaps in perioperative medicine related to cardiac surgery, defined as areas in which there is significant controversy about how best to manage patients. These five areas of focus include patient blood management, goal-directed therapy, acute kidney injury, opioid analgesic reduction, and delirium. |
| first_indexed | 2024-12-12T20:12:28Z |
| format | Article |
| id | doaj.art-01f2b7a1071146ecadd68ccc01aeb731 |
| institution | Directory Open Access Journal |
| issn | 2047-0525 |
| language | English |
| last_indexed | 2024-12-12T20:12:28Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj.art-01f2b7a1071146ecadd68ccc01aeb7312022-12-22T00:13:29ZengBMCPerioperative Medicine2047-05252022-04-0111111010.1186/s13741-022-00250-7Controversies in enhanced recovery after cardiac surgeryAndrew D. Shaw0Nicole R. Guinn1Jessica K. Brown2Rakesh C. Arora3Kevin W. Lobdell4Michael C. Grant5Tong J. Gan6Daniel T. Engelman7for the Perioperative Quality Initiative (POQI) and Enhanced Recovery after Surgery–Cardiac (ERAS→-Cardiac) investigatorsDepartment of Intensive Care and Resuscitation, Cleveland ClinicDepartment of Anesthesiology, Duke University Medical CenterDepartment of Anesthesiology and Perioperative Medicine, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer CenterCardiac Surgery, Department of Surgery, Max Rady College of Medicine, University of ManitobaEducation and Research, Atrium HealthDepartments of Anesthesiology/Critical Care Medicine and Surgery, The Johns Hopkins Medical InstitutionsDepartment of Anesthesiology, Stony Brook University Renaissance School of MedicineUniversity of Massachusetts Medical School-Baystate, Baystate Medical CenterAbstract Advances in cardiac surgical operative techniques and myocardial protection have dramatically improved outcomes in the past two decades. An unfortunate and unintended consequence is that 80% of the preventable morbidity and mortality following cardiac surgery now originates outside of the operating room. Our hope is that a renewed emphasis on evidence-based best practice and standardized perioperative care will reduce overall morbidity and mortality and improve patient-centric care. The Perioperative Quality Initiative (POQI) and Enhanced Recovery After Surgery–Cardiac Society (ERAS® Cardiac) have identified significant evidence gaps in perioperative medicine related to cardiac surgery, defined as areas in which there is significant controversy about how best to manage patients. These five areas of focus include patient blood management, goal-directed therapy, acute kidney injury, opioid analgesic reduction, and delirium.https://doi.org/10.1186/s13741-022-00250-7Enhanced recovery after surgeryPatient blood managementAcute kidney injuryOpioid analgesia reductionDelirium |
| spellingShingle | Andrew D. Shaw Nicole R. Guinn Jessica K. Brown Rakesh C. Arora Kevin W. Lobdell Michael C. Grant Tong J. Gan Daniel T. Engelman for the Perioperative Quality Initiative (POQI) and Enhanced Recovery after Surgery–Cardiac (ERAS→-Cardiac) investigators Controversies in enhanced recovery after cardiac surgery Perioperative Medicine Enhanced recovery after surgery Patient blood management Acute kidney injury Opioid analgesia reduction Delirium |
| title | Controversies in enhanced recovery after cardiac surgery |
| title_full | Controversies in enhanced recovery after cardiac surgery |
| title_fullStr | Controversies in enhanced recovery after cardiac surgery |
| title_full_unstemmed | Controversies in enhanced recovery after cardiac surgery |
| title_short | Controversies in enhanced recovery after cardiac surgery |
| title_sort | controversies in enhanced recovery after cardiac surgery |
| topic | Enhanced recovery after surgery Patient blood management Acute kidney injury Opioid analgesia reduction Delirium |
| url | https://doi.org/10.1186/s13741-022-00250-7 |
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