State of the Art: Proceedings of the American Association for Thoracic Surgery Enhanced Recovery After Cardiac Surgery Summit

Overview

Journal JTCVS Open

Specialty Cardiology & Vascular Diseases

Date 2023 Jul 10

PMID 37425466

Authors

Subhasis Chatterjee

Rakesh C Arora

Cheryl Crisafi

Shannon Crotwell

Marc W Gerdisch

Nevin M Katz

Kevin W Lobdell

Vicki Morton-Bailey

John P Pirris

V Seenu Reddy

Rawn Salenger

Dirk Varelmann

Daniel T Engelman

Affiliations

Soon will be listed here.

Abstract

Despite the benefits established for multiple surgical specialties, enhanced recovery after surgery has been underused in cardiac surgery. A cardiac enhanced recovery after surgery summit was convened at the 102nd American Association for Thoracic Surgery annual meeting in May 2022 for experts to convey key enhanced recovery after surgery concepts, best practices, and applicable results for cardiac surgery. Topics included implementation of enhanced recovery after surgery, prehabilitation and nutrition, rigid sternal fixation, goal-directed therapy, and multimodal pain management.

References

Barberan-Garcia A, Ubre M, Roca J, Lacy A, Burgos F, Risco R . Personalised Prehabilitation in High-risk Patients Undergoing Elective Major Abdominal Surgery: A Randomized Blinded Controlled Trial. Ann Surg. 2017; 267(1):50-56. DOI: 10.1097/SLA.0000000000002293. View

Wischmeyer P, Carli F, Evans D, Guilbert S, Kozar R, Pryor A . American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway. Anesth Analg. 2018; 126(6):1883-1895. DOI: 10.1213/ANE.0000000000002743. View

Weimann A, Braga M, Carli F, Higashiguchi T, Hubner M, Klek S . ESPEN practical guideline: Clinical nutrition in surgery. Clin Nutr. 2021; 40(7):4745-4761. DOI: 10.1016/j.clnu.2021.03.031. View

Olbrecht V, Barreiro C, Bonde P, Williams J, Baumgartner W, Gott V . Clinical outcomes of noninfectious sternal dehiscence after median sternotomy. Ann Thorac Surg. 2006; 82(3):902-7. DOI: 10.1016/j.athoracsur.2006.04.058. View

Horvath K . Can Cardiothoracic Surgeons Succeed in Value-Based Care?. Ann Thorac Surg. 2022; 113(5):1431-1435. DOI: 10.1016/j.athoracsur.2022.01.004. View

Monge Garcia M, Gracia Romero M, Gil Cano A, Aya H, Rhodes A, Grounds R . Dynamic arterial elastance as a predictor of arterial pressure response to fluid administration: a validation study. Crit Care. 2014; 18(6):626. PMC: 4271484. DOI: 10.1186/s13054-014-0626-6. View

Iribarne A, Chang H, Alexander J, Gillinov A, Moquete E, Puskas J . Readmissions after cardiac surgery: experience of the National Institutes of Health/Canadian Institutes of Health research cardiothoracic surgical trials network. Ann Thorac Surg. 2014; 98(4):1274-80. PMC: 4186890. DOI: 10.1016/j.athoracsur.2014.06.059. View

Li C, Carli F, Lee L, Charlebois P, Stein B, Liberman A . Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery: a pilot study. Surg Endosc. 2012; 27(4):1072-82. DOI: 10.1007/s00464-012-2560-5. View

Engelman D, Ben Ali W, Williams J, Perrault L, Reddy V, Arora R . Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations. JAMA Surg. 2019; 154(8):755-766. DOI: 10.1001/jamasurg.2019.1153. View

10.

Hill A, Nesterova E, Lomivorotov V, Efremov S, Goetzenich A, Benstoem C . Current Evidence about Nutrition Support in Cardiac Surgery Patients-What Do We Know?. Nutrients. 2018; 10(5). PMC: 5986477. DOI: 10.3390/nu10050597. View

11.

E Hobson C, Yavas S, Segal M, Schold J, Tribble C, Layon A . Acute kidney injury is associated with increased long-term mortality after cardiothoracic surgery. Circulation. 2009; 119(18):2444-53. DOI: 10.1161/CIRCULATIONAHA.108.800011. View

12.

Sepehri A, Beggs T, Hassan A, Rigatto C, Shaw-Daigle C, Tangri N . The impact of frailty on outcomes after cardiac surgery: a systematic review. J Thorac Cardiovasc Surg. 2014; 148(6):3110-7. DOI: 10.1016/j.jtcvs.2014.07.087. View

13.

Engelman D, Crisafi C, Germain M, Greco B, Nathanson B, Engelman R . Using urinary biomarkers to reduce acute kidney injury following cardiac surgery. J Thorac Cardiovasc Surg. 2019; 160(5):1235-1246.e2. DOI: 10.1016/j.jtcvs.2019.10.034. View

14.

Dushianthan A, Knight M, Russell P, Grocott M . Goal-directed haemodynamic therapy (GDHT) in surgical patients: systematic review and meta-analysis of the impact of GDHT on post-operative pulmonary complications. Perioper Med (Lond). 2020; 9:30. PMC: 7560066. DOI: 10.1186/s13741-020-00161-5. View

15.

Osawa E, Rhodes A, Landoni G, Galas F, Fukushima J, Park C . Effect of Perioperative Goal-Directed Hemodynamic Resuscitation Therapy on Outcomes Following Cardiac Surgery: A Randomized Clinical Trial and Systematic Review. Crit Care Med. 2015; 44(4):724-33. DOI: 10.1097/CCM.0000000000001479. View

16.

Alshaikh H, Katz N, Gani F, Nagarajan N, Canner J, Kacker S . Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States. Ann Thorac Surg. 2017; 105(2):469-475. DOI: 10.1016/j.athoracsur.2017.10.053. View

17.

Stein A, Souza L, Belettini C, Menegazzo W, Viegas J, Pereira E . Fluid overload and changes in serum creatinine after cardiac surgery: predictors of mortality and longer intensive care stay. A prospective cohort study. Crit Care. 2012; 16(3):R99. PMC: 3580649. DOI: 10.1186/cc11368. View

18.

Aneman A, Brechot N, Brodie D, Colreavy F, Fraser J, Gomersall C . Advances in critical care management of patients undergoing cardiac surgery. Intensive Care Med. 2018; 44(6):799-810. DOI: 10.1007/s00134-018-5182-0. View

19.

Brown J, Parikh C, Ross C, Kramer R, Magnus P, Chaisson K . Impact of perioperative acute kidney injury as a severity index for thirty-day readmission after cardiac surgery. Ann Thorac Surg. 2013; 97(1):111-7. PMC: 4009924. DOI: 10.1016/j.athoracsur.2013.07.090. View

20.

Aya H, Cecconi M, Hamilton M, Rhodes A . Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis. Br J Anaesth. 2013; 110(4):510-7. DOI: 10.1093/bja/aet020. View