Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations

被引：922

作者：

Engelman, Daniel T. ^{[1
]}

Ali, Walid Ben ^{[2
]}

Williams, Judson B. ^{[3
]}

Perrault, Louis R. ^{[2
]}

Reddy, V. Seenu ^{[4
]}

Arora, Rakesh C. ^{[5
,15
]}

Roselli, Eric E. ^{[6
]}

Khoynezhad, Ali ^{[7
]}

Gerdisch, Marc ^{[8
]}

Levy, Jerrold H. ^{[9
]}

Lobdell, Kevin ^{[10
]}

Fletcher, Nick ^{[11
]}

Kirsch, Matthias ^{[12
]}

Nelson, Gregg ^{[13
]}

Engelman, Richard M. ^{[16
]}

Gregory, Alexander J. ^{[13
]}

Boyle, Edward M. ^{[14
]}

机构：

[1] Baystate Med Ctr, Heart & Vasc Program, 759 Chestnut St, Springfield, MA 01199 USA

[2] Montreal Heart Inst, Montreal, PQ, Canada

[3] WakeMed Hlth & Hosp, Raleigh, NC USA

[4] Centennial Heart & Vasc Ctr, Nashville, TN USA

[5] Univ Manitoba, St Boniface Hosp, Winnipeg, MB, Canada

[6] Cleveland Clin, Cleveland, OH 44106 USA

[7] MemorialCare Heart & Vasc Inst, Los Angeles, CA USA

[8] Franciscan Hlth Heart Ctr, Indianapolis, IN USA

[9] Duke Univ, Sch Med, Durham, NC USA

[10] Atrium Hlth, Dept Cardiovasc & Thorac Surg, Greensboro, NC USA

[11] St Georges Univ London, London, England

[12] CHU Vaudois, Cardiac Surg Ctr, Lausanne, Switzerland

[13] Univ Calgary, Calgary, AB, Canada

[14] St Charles Hosp, Dept Cardiac Surg, Bend, OR USA

[15] Univ Manitoba, Max Rady Coll Med, Dept Surg, Winnipeg, MB, Canada

[16] Baystate Med Ctr, Dept Surg, Springfield, MA 01107 USA

来源：

JAMA SURGERY | 2019年 / 154卷 / 08期

关键词：

ACUTE KIDNEY INJURY; SURGICAL SITE INFECTION; ARTERY-BYPASS SURGERY; LENGTH-OF-STAY; MECHANICALLY VENTILATED PATIENTS; CHEST DRAINAGE CATHETERS; MAJOR ABDOMINAL-SURGERY; RETAINED BLOOD SYNDROME; GOAL-DIRECTED THERAPY; PAIN OBSERVATION TOOL;

D O I：

10.1001/jamasurg.2019.1153

中图分类号：

R61 [外科手术学];

学科分类号：

100210 [外科学];

摘要：

Enhanced Recovery After Surgery (ERAS) evidence-based protocols for perioperative care can lead to improvements in clinical outcomes and cost savings. This article aims to present consensus recommendations for the optimal perioperative management of patients undergoing cardiac surgery. A review of meta-analyses, randomized clinical trials, large nonrandomized studies, and reviews was conducted for each protocol element. The quality of the evidence was graded and used to form consensus recommendations for each topic. Development of these recommendations was endorsed by the Enhanced Recovery After Surgery Society.

引用

页码：755 / 766

页数：12

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