Enhanced Recovery After Surgery Cardiac Panel Part II: Intraoperative and Postoperative

Filmed at the 2019 STS Annual Meeting in San Diego, California, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS) for cardiac surgery. Dr Engelman, who is also the President of the ERAS Cardiac Society, is joined by Rakesh Arora of Saint Boniface Hospital in Winnipeg, Manitoba, Canada, Michael Grant of the Johns Hopkins Hospital in Baltimore, Maryland, USA, Kevin Lobdell of Atrium Health in Charlotte, North Carolina, USA, and Louis Perrault of the Montreal Heart Institute in Quebec, Canada. The panel discusses intraoperative opportunities to apply ERAS principles, including anesthesia, sternal closure technique, and chest drainage. Postoperatively, they highlight reducing kidney injury, managing delirium, multimodal pain management to reduce opioid usage, and avoiding deep vein thrombosis. Looking to the future of ERAS, the group notes that the research possibilities are endless. Finally, they emphasize that the ERAS Cardiac Society is inclusive and open to the entire team of professionals who care for cardiac surgery patients.

This is part II of a two-part discussion. View the first part here.