Fast-track recovery program after cardiac surgery in a teaching hospital: a quality improvement initiative

BMC Research Notes

Wen-Shen Lee¹  Patryck Lloyd-Donald¹  James W. Hooper¹  Alice Moore¹  Peter McCall¹  Laurence Weinberg²  Dong Kyu Lee³  George Matalanis⁴  Siven Seevanayagam⁴  Nikhil Chandra⁴  Stephen Warrillow⁵ 

[1] Department of Anesthesia, Austin Health, Melbourne, VIC, Australia;Department of Anesthesia, Austin Health, Melbourne, VIC, Australia;Department of Surgery, The University of Melbourne, Austin Health, Melbourne, Australia;Department of Anesthesiology and Pain Medicine, Guro Hospital, Korea University School of Medicine, Seoul, Korea;Department of Cardiac Surgery, Austin Health, Melbourne, Australia;Department of Surgery, The University of Melbourne, Austin Health, Melbourne, Australia;

关键词: Cardiac anesthesia;    Fast-track anesthesia;    Quality improvement;    Perioperative flow;    Resource allocation;   

DOI  :  10.1186/s13104-021-05620-w

来源: Springer

【 摘 要 】

ObjectiveFast-track cardiac anesthesia (FTCA) is a technique that may improve patient access to surgery and maximize workforce utilization. However, feasibility and factors impacting FTCA implementation remain poorly explored both locally and internationally. We describe the specific intraoperative and postoperative protocols for our FTCA program, assess protocol compliance and identify reasons for FTCA failure.ResultsWe tested the program in 16 patients undergoing elective cardiac surgery requiring cardiopulmonary bypass. There was 100% compliance with the FTCA protocols. Four (25%) patients successfully completed the FTCA protocol (extubated < 4 h postoperatively and discharged from the intensive care unit on the same operative day).

【 授权许可】

CC BY