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Enhanced recovery from heart surgery 

Enhanced recovery from heart surgery
Chapter:
Enhanced recovery from heart surgery
Author(s):

Stefan Probst

and Jörg Ender

DOI:
10.1093/med/9780199653478.003.0027
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date: 13 October 2019

Enhanced recovery that is tracheal extubation within 6 hours of the end of surgery and a duration of stay in an intensive care unit less than 24 hours, should be the standard of care for patients undergoing cardiac surgery. Several hospitals have developed their own concepts to achieve these goals. In this chapter, the important steps for implementation of an enhanced recovery protocol are discussed. This includes preoperative considerations, intraoperative management, and postoperative care. Identification of fast-track patients, as well as risk factors for failed enhanced recovery, adaptions to drug and fluid therapy, as well as temperature management and postoperative care on intensive care unit and/or post-anaesthesia care unit are described in detail. Finally, economic considerations are discussed.

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