Fast-track recovery program after cardiac surgery in a teaching hospital: a quality improvement initiative

OBJECTIVE: Fast-track cardiac anesthesia (FTCA) is a technique that may improve patient access to surgery and maximize workforce utilization. However, feasibility and factors impacting FTCA implementation remain poorly explored both locally and internationally. We describe the specific intraoperativ...

Descripción completa

Detalles Bibliográficos
Autores principales: Lloyd-Donald, Patryck, Lee, Wen-Shen, Hooper, James W., Lee, Dong Kyu, Moore, Alice, Chandra, Nikhil, McCall, Peter, Seevanayagam, Siven, Matalanis, George, Warrillow, Stephen, Weinberg, Laurence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Research Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140586/
https://www.ncbi.nlm.nih.gov/pubmed/34022969
http://dx.doi.org/10.1186/s13104-021-05620-w
Descripción
Sumario:OBJECTIVE: Fast-track cardiac anesthesia (FTCA) is a technique that may improve patient access to surgery and maximize workforce utilization. However, feasibility and factors impacting FTCA implementation remain poorly explored both locally and internationally. We describe the specific intraoperative and postoperative protocols for our FTCA program, assess protocol compliance and identify reasons for FTCA failure. RESULTS: We tested the program in 16 patients undergoing elective cardiac surgery requiring cardiopulmonary bypass. There was 100% compliance with the FTCA protocols. Four (25%) patients successfully completed the FTCA protocol (extubated < 4 h postoperatively and discharged from the intensive care unit on the same operative day).

Ejemplares similares