Ultra fast-tracking versus a conventional strategy in valve replacement surgery

Kandasamy, Ashok; Ramalingam, Senthil Kumar; Simon, Hariharan Anthony; Arumugham, Sukumar; Reddy, Bakthavatsala Deva; Krupananda, Harshavardhan

doi:10.4103/0019-5049.115567

Cited by 7 publications

(20 citation statements)

References 6 publications

(6 reference statements)

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“…Goeddel 28 showed that early extubation improves results; differently, Kandasamy 29 reported that, even though early extubation offers an advantage over accelerated recovery and shorter ICU and hospital length of stay, it showed no significant difference in patient results. In our analysis, the median extubation time in both groups was less than 3 h and had no significant difference ( P = 0.477).…”

Section: Discussionmentioning

confidence: 99%

Safe and effective protocol for discharge 3 days after cardiac surgery

Mejía

Borgomoni

Lasta

et al. 2021

Sci Rep

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The Enhanced Recovery After Surgery (ERAS) protocol affected traditional cardiac surgery processes and COVID-19 is expected to accelerate its scalability. The aim of this study was to assess the impact of an ERAS-based protocol on the length of hospital stay after cardiac surgery. From January 2019 to June 2020, 664 patients underwent consecutive cardiac surgery at a Latin American center. Here, 46 patients were prepared for a rapid recovery through a multidisciplinary institutional protocol based on the ERAS concept, the “TotalCor protocol”. After the propensity score matching, 46 patients from the entire population were adjusted for 12 variables. Patients operated on the TotalCor protocol had reduced intensive care unit time (P < 0.025), postoperative stay (P ≤ 0.001) and length of hospital stay (P ≤ 0.001). In addition, there were no significant differences in the occurrence of complications and death between the two groups. Of the 10-central metrics of TotalCor protocol, 6 had > 70% adherences. In conclusion, the TotalCor protocol was safe and effective for a 3-day discharge after cardiac surgery. Postoperative atrial fibrillation and renal failure were predictors of postoperative stay > 5 days.

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Section: Discussionmentioning

confidence: 99%

Safe and effective protocol for discharge 3 days after cardiac surgery

Mejía

Borgomoni

Lasta

et al. 2021

Sci Rep

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“…The core principles of UFTA and IE are choice and titration of short-acting anesthetic drugs and opioid-based anesthesia, postoperative normothermia, multimodal analgesia, early extubation, ambulation, and early discharge. [ 3 ] Inhalation-based anesthesia is also an important factor in UFTA as much as low-dose opioid technique. [ 4 ] Hence, authors have made judicious use of both the techniques.…”

Section: Discussionmentioning

confidence: 99%

Comparison of immediate extubation versus ultrafast tracking strategy in the management of off-pump coronary artery bypass surgery

Nagre

Jambures

2018

Ann Card Anaesth

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“…The core principles of ultra fast track anesthesia (UFTA) and OR extubation are choice and titration of short-acting anesthetic drugs and opioid-based anesthesia, postoperative normothermia, multimodal analgesia, early extubation, ambulation and early discharge. 8 Royes et al, studied 109 consecutive patients under gone cardiac surgery, 100 patients were immediately extubated (92%) no patient required reintubation within the first 24 hours after operation. 3 To allow rapid emergence, anaesthesia was modified from high dose technique to intravenous propofol anaesthesia supplemented with Inhalation-based anesthesia, sevoflurane.…”

Section: Discussionmentioning

confidence: 99%

Operating room (OR) extubation after off pump coronary artery bypass grafting surgery: its feasibility and effect on post operative complication: a prospective study

Malewar

Rai²

2018

Int J Res Med Sci

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Background: The expansion of coronary surgery on the beating heart without cardiopulmonary bypass has led to increasing interest in ultra-fast track anesthesia, allowing extubation of the patient in the operating room. Ultrafast tracking of anesthesia (UFTA) is practiced routinely, whereas immediate on-table extubation after off-pump coronary artery bypass (OPCAB) grafting surgery has many concerns. The purpose of our study was to evaluate the safety and feasibility of Operating Room (OR) extubation.Methods: Authors have conducted a study in 158 patients undergone OPCAB. Patients were observed carefully for their intraoperative behavior in terms of hemodynamics, urine output, requirement of inotropes, bleeding and body temperature and then selected for OR extubation. Post-operative complications such as bleeding, reoperation, re-intubation and ventilation, stroke, deep sternal infection and in-hospital mortality were checked. Serial ABG (Arterial Blood Gas) (pO2, pCO2 and O2 saturation) was performed: preoperative, pre-extubation (OR), Intensive Thoracic Unit (ITU) on transfer and ITU 4 hours.Results: Authors found OR extubation was safely feasible in 151 patients. 4 patients were reintubated and there were 2 in hospital mortality. None had deep sternal infection. The analysis of arterial Blood Gas revealed no significant changes between pre and post-operative values. All hospital survivors were discharged between 6th and 8th postoperative days.Conclusions: Our results concluded that Operating Room (OR) extubation is feasible in the majority of patients undergoing OPCAB and the technique is safe, effective and does not increase post-operative complications.

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Ultra fast-tracking versus a conventional strategy in valve replacement surgery

Cited by 7 publications

References 6 publications

Safe and effective protocol for discharge 3 days after cardiac surgery

Safe and effective protocol for discharge 3 days after cardiac surgery

Comparison of immediate extubation versus ultrafast tracking strategy in the management of off-pump coronary artery bypass surgery

Operating room (OR) extubation after off pump coronary artery bypass grafting surgery: its feasibility and effect on post operative complication: a prospective study

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