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Fast-tracking the low-risk patient 

Fast-tracking the low-risk patient
Chapter:
Fast-tracking the low-risk patient
Author(s):

Stefan Schraag

DOI:
10.1093/med/9780199692958.003.0003
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date: 22 September 2019

Achieving a rapid and sustained recovery is one of the primary goals in the modern management of cardiac surgical patients. Advances in surgery, anaesthesia, and improved patient selection and preparation have led to the development of fast-track programmes. The defining characteristic of these programmes is the reduction in the use of critical care resources in the postoperative period. Instead, the patient is managed in a specialized recovery of post-surgical care unit and stepped down to the cardiac surgical ward directly from there. Enhanced recovery (ER) is a high-quality surgical care pathway and a concept to get patients better, sooner. As a multidisciplinary programme, ER focuses on the attitude and work ethic of combining various components and elements that individually are evidence-based and applicable for the surgical pathway.

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