Enhanced recovery after cardiac surgery: A literature review

Saudi J Anaesth. 2024 Apr-Jun;18(2):257-264. doi: 10.4103/sja.sja_62_24. Epub 2024 Mar 14.

Abstract

Enhanced recovery after cardiac surgery (ERACS) represents a constellation of evidence-based peri-operative methods aimed to reduce the physiological and psychological stress patients experience after cardiac surgery, with the primary objective of providing an expedited recovery to pre-operative functional status. The method involves pre-operative, intra-operative, and post-operative interventions as well as direct patient engagement to be successful. Numerous publications in regard to the benefits of enhanced recovery have been presented, including decreased post-operative complications, shortened length of stay, decreased overall healthcare costs, and higher patient satisfaction. Implementing an ERACS program undeniably requires a culture change, a methodical shift in the approach of these patients that ultimately allows the team to achieve the aforementioned goals; therefore, team-building, planning, and anticipation of obstacles should be expected.

Keywords: Cardiac surgery; clinical protocols; enhanced recovery after surgery; patient-centered care.

Publication types

  • Review