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Enhanced Recovery After Surgery: Guideline Update
Filmed at the 2019 EACTS Annual Meeting in Lisbon, Portugal, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, moderates a discussion of the recently published guidelines of the Enhanced Recovery After Cardiac Surgery Society. Dr Engelman is joined by four other ERAS Cardiac Society board members, including Michael Grant of Johns Hopkins Hospital in Baltimore, Maryland, V. Seenu Reddy of TriStar Centennial Medical Center in Nashville, Tennessee, Alexander John Gregory of the Libin Cardiovascular Institute of Alberta, Canada, and Louis P. Perrault of the Montreal Heart Institute in Quebec, Canada. They discuss the new guidelines in depth, including key multidisciplinary interventions around cardiac surgery that provide best practices for the team and for patients by identifying phases of care as preoperative, intraoperative, and postoperative. These guidelines can be viewed on JAMA Surgery online as well as the ERAS Cardiac Society's website.
The following disclosures were made in relation to the roundtable:
Dr. Engelman has no relevant conflicts. The ERAS cardiac non-profit society received honoraria from Edwards-Lifesciences, Medela, and Biomerieux for speaker and consulting activity.
Dr Reddy reports personal fees from Astute Medical outside the submitted work.
Dr Perrault is on the scientific advisory board for ClearFlow Inc and a consultant and principal investigator for Somahlution.
The following disclosures were made in relation to the original article setting for the guidelines discussed in this roundtable:
Dr Khoynezhad consults for and receives speaking honoraria from Atricure Inc.
Dr Levy reported serving on research and steering committees for Boehringer-Ingelheim, CSL Behring, Octapharma, Instrumentation Labs, and Merck.
Dr Gerdisch is a consultant and principal investigator for and receives speaker honoraria from Zimmer Biomet and Cryolife and consults for and receives speaking honoraria from Atricure Inc.
Dr Arora has received honoraria from Mallinckrodt Pharmaceuticals and an unrestricted education grant from Pfizer Canada.
Dr R. Engelman is a consultant for Cryolife.
Dr D. Engelman reported personal fees from Astute Medical, Edwards Lifescience, and Zimmer-Biomet outside the submitted work.
Dr Arora reports grants from Pfizer Canada and honoraria from Mallickrodt Pharmaceuticals.
Dr Roselli reports personal fees from Abbott, Edwards, LivaNova, and Cryolife and grants and personal fees from Gore, Medtronic, and TerumoAortic, outside the submitted work.
Dr Boyle reports personal fees from ClearFlow Medical during the conduct of the study and is a founder of and has a patent to ClearFlow Medical pending and issued.