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Guidelines for Perioperative Care in Cardiac Surgery

Daniel T. EngelmanHeart and Vascular Program, Baystate Medical Center, Springfield, MassachusettsWalid Ben AliMontreal Heart Institute, Montreal, CanadaJudson B. WilliamsWakeMed Health and Hospitals, Raleigh, North CarolinaLouis P. PerraultMontreal Heart Institute, Montreal, CanadaV. Seenu ReddyCentennial Heart & Vascular Center, Nashville, TennesseeRakesh C. AroraNow with Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, CanadaEric E. RoselliCleveland Clinic, Cleveland, OhioAli KhoynezhadMemorialCare Heart and Vascular Institute, Los Angeles, CaliforniaMarc GerdischFranciscan Health Heart Center, Indianapolis, IndianaJerrold H. LevyDuke University School of Medicine, Durham, North CarolinaKevin W. LobdellAtrium Health, Department of Cardiovascular and Thoracic Surgery, North CarolinaNick FletcherSt Georges University of London, London, United KingdomMatthias KirschCentre Hospitalier Universitaire Vaudois Cardiac Surgery Centre, Lausanne, SwitzerlandGregg NelsonUniversity of Calgary, Calgary, Alberta, CanadaRichard M. EngelmanDepartment of Surgery, Baystate Medical Center, Springfield, MassachusettsAlexander J. GregoryUniversity of Calgary, Calgary, Alberta, CanadaEdward M. BoyleDepartment of Cardiac Surgery, St Charles Medical Center, Bend, Oregon
2019en
ABI

Аннотация

Enhanced Recovery After Surgery (ERAS) evidence-based protocols for perioperative care can lead to improvements in clinical outcomes and cost savings. This article aims to present consensus recommendations for the optimal perioperative management of patients undergoing cardiac surgery. A review of meta-analyses, randomized clinical trials, large nonrandomized studies, and reviews was conducted for each protocol element. The quality of the evidence was graded and used to form consensus recommendations for each topic. Development of these recommendations was endorsed by the Enhanced Recovery After Surgery Society.

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