Fast-track anaesthesia in cardiac and transplant surgeries- An Indian perspective

Abstract

Fast-track anaesthesia (FTA) involves early tracheal extubation after surgery, ranging from extubation on-table to within 6-8 hours postoperatively. It is associated with reduced length of intensive care and hospital stay and fewer postoperative complications, which lead to cost savings for patients and more efficient use of resources for hospitals. Despite the extensive literature on the safety and advantages of FTA in cardiac and transplant surgeries worldwide, its implementation in India is highly variable. Moreover, literature on the use of FTA in India is also scarce. Standardised protocols, appropriate selection of patients potentially suitable for FTA, and multidisciplinary collaboration are essential to ensure the wider adoption and success of FTA in India.