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

Patryck Lloyd-Donald; Wen Shen Lee; James W. Hooper; Dong Kyu Lee; Alice Moore; Nikhil Chandra; Peter McCall; Siven Seevanayagam; George Matalanis; Stephen Warrillow; Laurence Weinberg

doi:10.1186/s13104-021-05620-w

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

Patryck Lloyd-Donald, Wen Shen Lee, James W. Hooper, Dong Kyu Lee, Alice Moore, Nikhil Chandra, Peter McCall, Siven Seevanayagam, George Matalanis, Stephen Warrillow, Laurence Weinberg

Department of Medicine

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Objective: Fast-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. Results: We 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).

Original language	English
Article number	201
Journal	BMC Research Notes
Volume	14
Issue number	1
DOIs	https://doi.org/10.1186/s13104-021-05620-w
State	Published - Dec 2021

Keywords

Cardiac anesthesia
Fast-track anesthesia
Perioperative flow
Quality improvement
Resource allocation

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10.1186/s13104-021-05620-w

Cite this

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abstract = "Objective: Fast-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. Results: We 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).",

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AU - Lloyd-Donald, Patryck

AU - Lee, Wen Shen

AU - Hooper, James W.

AU - Lee, Dong Kyu

AU - Moore, Alice

AU - Chandra, Nikhil

AU - McCall, Peter

AU - Seevanayagam, Siven

AU - Matalanis, George

AU - Warrillow, Stephen

AU - Weinberg, Laurence

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AB - Objective: Fast-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. Results: We 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).

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

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Keywords

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