Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Fast-tracking pulmonary resections.

R J Cerfolio1, A Pickens, C Bass

  • 1Division of Cardiothoracic Surgery and the Department of Biostatistics, University of Alabama at Birmingham, 35294, USA. Robert.cerfolio@ccc.uab.edu

The Journal of Thoracic and Cardiovascular Surgery
|August 2, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Multi-site validation of an AI-based biomarker test for determining ER, PR, and HER2 status from H&E-stained breast cancer slides.

ESMO real world data and digital oncology·2026
Same author

Differentially spliced mitochondrial CYP419A1 contributes to ethiprole resistance in Nilaparvata lugens.

Insect biochemistry and molecular biology·2025
Same author

Socio-economic factors related to premature death from colorectal cancer in Santiago de Chile, 2014-2018: a cross-sectional study.

Public health·2024
Same author

Beam-Target Helicity Asymmetry for γ[over →]n[over →]→π^{-}p in the N^{*} Resonance Region.

Physical review letters·2017
Same author

SU-D-217A-04: Evaluation of the Spatial Concordance Between the Intratumoral Patterns of 18F-FLT and 18F-FDG Uptake in a Small Animal Tumor Model.

Medical physics·2017
Same author

Use of the synergist piperonyl butoxide can slow the development of alpha-cypermethrin resistance in the whitefly Bemisia tabaci.

Insect molecular biology·2016
Same journal

A CALL FOR STANDARDIZATION OF HYBRID ARCH FROZEN ELEPHANT TRUNK OUTCOMES REPORTING.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Pediatric Mitral Valve Surgery: Current Practice from the European Congenital Heart Surgeons Association Congenital Database Analysis.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Rethinking Failure to Rescue in Cardiac Surgery.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Undersized Fontan conduits are not without risk.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Predicting high-risk recipients or high-risk donation after circulatory death hearts?

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Outcomes of donation after circulatory death heart transplantation in recipients with pulmonary hypertension.

The Journal of thoracic and cardiovascular surgery·2026
See all related articles

Streamlined pulmonary resection care allows immediate extubation and direct room transfer, enabling early discharge (postoperative day 3-4) with high patient satisfaction and minimal complications. This approach enhances quality and cost-effectiveness in thoracic surgery.

Area of Science:

  • Thoracic Surgery
  • Pulmonary Resection
  • Surgical Quality Improvement

Background:

  • Optimizing patient care pathways after pulmonary resection is crucial for improving outcomes and reducing healthcare costs.
  • Traditional postoperative care often involves prolonged intensive care unit (ICU) stays and delayed discharges.

Purpose of the Study:

  • To streamline postoperative care following pulmonary resection to enhance quality and cost-effectiveness.
  • To evaluate the feasibility and outcomes of a standardized, accelerated recovery protocol.

Main Methods:

  • A single surgeon performed 500 consecutive thoracotomy pulmonary resections.
  • Standardized protocol included operating room extubation, direct hospital room transfer, early chest tube removal (postoperative day 2), and epidural catheter removal (postoperative day 2).

Related Experiment Videos

  • Daily multidisciplinary rounds reinforced daily plans and discharge readiness for postoperative day 3 or 4 discharge.

    • Main Results:

    • 96% of patients were extubated in the operating room, and 76% went directly to their hospital room, avoiding the ICU.
    • 65% of patients were discharged on postoperative day 4 or sooner.
    • Overall complication rate was 21%, with an operative mortality of 2.0%; 97% patient satisfaction at discharge and 91% at 2-week follow-up.

    Conclusions:

    • Elective pulmonary resections can be safely managed with immediate extubation, direct room transfer, and early discharge (postoperative day 3-4).
    • This streamlined approach leads to minimal morbidity and mortality, coupled with high patient satisfaction.
    • Key elements include water seal chest tubes, early epidural and chest tube removal, and proactive patient/family communication.