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ERAS Guidelines for Perioperative Care in Cardiac Surgery
Filmed at the 2019 AATS Annual Meeting in Toronto, Canada, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS) for cardiac surgery guidelines for perioperative care. Dr Engelman, who is also the President of the ERAS Cardiac Society, is joined by Louis Perrault of the Montreal Heart Institute in Quebec, Canada, Marc Gerdisch of Franciscan St. Francis Heart Center in Indianapolis, Indiana, USA, Michael Grant of the Johns Hopkins Hospital in Baltimore, Maryland, USA, and Judson Williams of Duke University Medical Center in Raleigh, NC, USA. The panelists highlight some of the recommendations from the first cardiac ERAS guidelines(1). They talk of the importance of prehabilitation and new preoperative nutritional recommendations, as well as intraoperative guidelines for multimodal analgesia, chest closure, and chest tube drainage. They note that many aspects of perioperative care are addressed in the guideline and note the recommendations on preventing venous thromboembolism and early extubation. Throughout the discussion, the group emphasizes the multidisciplinary nature of the ERAS effort.
Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society recommendations [published online ahead of print May 4, 2019.]. JAMA Surg. doi: 10.1001/jamasurg.2019.1153.