In this episode of The Cardiac Recovery Room, moderator Dr. Daniel Engelman, Medical Director of the Cardiac Surgical Critical Care & Inpatient Services at Baystate Health, Professor of Surgery at the University of Massachusetts Chan Medical School—Baystate, and President of the ERAS Cardiac Society, spoke with Drs. Kevin Lobdell, Professor and the Director of Regional Cardiovascular and Thoracic Quality, Education, and Research at Atrium Health; Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center; Marjan Jahangiri, Professor of Cardiac Surgery at St. George's Hospital, University of London; and Serdar Gunaydin, Head of Department at the University of Health Sciences in Turkey, about the attitudes toward and realities of ERAS across the globe.  

They discussed the intensive care unit and early extubation, highlighting differences between countries. They also covered the acceptance of the ERAS protocol and the regions that are more hesitant to implement it, as well as its application in cardiac surgery specifically. Additionally, they explored who leads the charge within the team responsible for implementing ERAS and addressed perceptions regarding sternotomy. The conversation also included improving quality of life, reducing complications, and patient-reported outcomes measures, emphasizing the importance of shared decision-making. Furthermore, they discussed rehabilitation, discharging patients, and remote monitoring.  

The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society. 

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