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Embracing Enhanced Recovery After Cardiac Surgery Program
Alexander J Gregory1, Christopher D Noss1, Michael C Grant2
1Department of Anesthesiology, Perioperative and Pain Medicine, Cumming School of Medicine and Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
None:
Enhanced recovery after cardiac surgery (ERAS) advocates for consistent and standardized delivery of evidenced-based perioperative care. Multidisciplinary teams deliver integrated patient care elements across all phases of care. Elements include risk-screening, prehabilitation, nutritional support, organ protection, patient blood management, early mobilization, optimal analgesia, and prevention of complications. Implementation of an ERAS program has been shown to improve patient recovery and reduce complications, length of stay, and resource utilization. However, the evidence is inconsistent and often low grade. Ongoing research, education, and institutional commitment remain essential for continued quantification of ERAS and its role in caring for cardiac surgical patients.
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