How to Start an Enhanced Recovery After Surgery Cardiac Program
Oliver K Jawitz1, William T Bradford2, Gina McConnell2
1Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Box 3443, Durham, NC 27710, USA; Duke Clinical Research Institute, Duke University Medical Center, Box 3443, Durham, NC 27710, USA. Electronic address: https://twitter.com/ojawitzMD.
Abstract:
In this review the authors introduce a practical approach to guide the initiation of an enhanced recovery after surgery (ERAS) cardiac surgery program. The first step in implementation is organizing a dedicated multidisciplinary ERAS cardiac team composed of representatives from nursing, surgery, anesthesiology, and other relevant allied health groups. Identifying a program coordinator or navigator who will have responsibilities for developing and implementing educational initiatives, troubleshooting, monitoring progress and setbacks, and data collection is also vital for success. An institution-specific protocol is then developed by leveraging national guidelines and local expertise.
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