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

被引：6

作者：

Lloyd-Donald, Patryck ^{[1
]}

Lee, Wen-Shen ^{[1
]}

Hooper, James W. ^{[1
]}

Lee, Dong Kyu ^{[2
]}

Moore, Alice ^{[1
]}

Chandra, Nikhil ^{[3
]}

McCall, Peter ^{[1
]}

Seevanayagam, Siven ^{[3
]}

Matalanis, George ^{[3
]}

Warrillow, Stephen ^{[4
]}

Weinberg, Laurence ^{[1
,4
]}

机构：

[1] Austin Hlth, Dept Anesthesia, Melbourne, Vic, Australia

[2] Korea Univ, Guro Hosp, Dept Anesthesiol & Pain Med, Sch Med, Seoul, South Korea

[3] Austin Hlth, Dept Cardiac Surg, Melbourne, Vic, Australia

[4] Univ Melbourne, Dept Surg, Austin Hlth, Melbourne, Vic, Australia

来源：

BMC RESEARCH NOTES | 2021年 / 14卷 / 01期

关键词：

Cardiac anesthesia; Fast-track anesthesia; Quality improvement; Perioperative flow; Resource allocation; SURGICAL-PATIENTS; EUROPEAN SYSTEM; EXTUBATION; PROTOCOL; LENGTH; STAY;

D O I：

10.1186/s13104-021-05620-w

中图分类号：

Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

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).

引用

页数：7

共 50 条

[21] Impact of Dexmedetomidine on Analgesic Requirements in Patients After Cardiac Surgery in a Fast-Track Recovery Room Setting
Barletta, Jeffrey E.
Miedema, Sherri L.
Wiseman, Douglas
Heiser, John C.
McAllen, Karen J.
PHARMACOTHERAPY, 2009, 29 (12): : 1427 - 1432
[22] Fast-track program for robotic-assisted laparoscopic cystectomy - improvement of postoperative recovery?
Saar, M.
Kamradt, J.
Ohlmann, C. H.
Herwerth, S.
Siemer, S.
Stoeckle, M.
EUROPEAN UROLOGY SUPPLEMENTS, 2012, 11 (01) : E715 - U522
[23] A Prospective Study on the Influence of a Fast-Track Program on Postoperative Fatigue and Functional Recovery After Major Colonic Surgery
Zargar-Shoshtari, Kamran
Paddison, Johanna S.
Booth, Roger J.
Hill, Andrew G.
JOURNAL OF SURGICAL RESEARCH, 2009, 154 (02) : 330 - 335
[24] Introduction of fast-track surgery in a large university hospital
Ljungqvist, O
Nygren, J
SHOCK, 2004, 21 : 143 - 143
[25] Experience With Lung Resection in a Fast-Track Surgery Program
Padilla Alarcon, Jose
Penalver Cuesta, Juan Carlos
ARCHIVOS DE BRONCONEUMOLOGIA, 2013, 49 (03): : 89 - 93
[26] Use of cisatracurium during fast-track cardiac surgery
Ouattara, A
Richard, L
Charrière, JM
Lanquetot, H
Corbi, P
Debaene, B
BRITISH JOURNAL OF ANAESTHESIA, 2001, 86 (01) : 130 - 132
[27] Randomized assessment of resource use in fast-track cardiac surgery 1-year after hospital discharge
Cheng, DCH
Wall, C
Djaiani, G
Peragallo, RA
Carroll, J
Li, C
Naylor, D
ANESTHESIOLOGY, 2003, 98 (03) : 651 - 657
[28] Fast-track anesthesia in cardiac surgery and postoperative care
Auler, JOC
Carmona, MJC
ANAESTHESIA, PAIN, INTENSIVE CARE AND EMERGENCY MEDICINE - APICE 14, 2000, : 201 - 209
[29] Fast-Track Recovery Program After Major Liver Resection A Randomized Prospective Study
Kapritsou, Maria
Korkolis, Dimitrios P.
Giannakopoulou, Margarita
Kaklamanos, Ioannis
Konstantinou, Maria
Katsoulas, Theodoros
Kiekkas, Panagiotis
Konstantinou, Evangelos A.
GASTROENTEROLOGY NURSING, 2018, 41 (02) : 104 - 110
[30] Fast-track pathway for elective caesarean section: a quality improvement initiative to promote day 1 discharge
Bowden, Sarah Joanne
Dooley, William
Hanrahan, Jennifer
Kanu, Chidimma
Halder, Suni
Cormack, Caroline
O'Dwyer, Sabrina
Singh, Natasha
BMJ OPEN QUALITY, 2019, 8 (02)

← 1 2 3 4 5 →