How to Start an Enhanced Recovery After Surgery Cardiac Program

Crit Care Clin. 2020 Oct;36(4):571-579. doi: 10.1016/j.ccc.2020.07.001. Epub 2020 Aug 12.


In this review the authors introduce a practical approach to guide the initiation of an enhanced recovery after surgery (ERAS) cardiac surgery program. The first step in implementation is organizing a dedicated multidisciplinary ERAS cardiac team composed of representatives from nursing, surgery, anesthesiology, and other relevant allied health groups. Identifying a program coordinator or navigator who will have responsibilities for developing and implementing educational initiatives, troubleshooting, monitoring progress and setbacks, and data collection is also vital for success. An institution-specific protocol is then developed by leveraging national guidelines and local expertise.

Keywords: Cardiac surgery; ERAS; Enhanced recovery; Perioperative care.

Publication types

  • Review

MeSH terms

  • Cardiac Surgical Procedures*
  • Enhanced Recovery After Surgery*
  • Humans
  • Postoperative Complications