scholarly journals Regional analgesia and ultra-fast-track cardiac anesthesia

2005 ◽  
Vol 52 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Davy C. H. Cheng
Keyword(s):  
Fast Track ◽  
Cardiac Anesthesia ◽  
Regional Analgesia

Risk Factors of Delayed Extubation, Prolonged Length of Stay in the Intensive Care Unit, and Mortality in Patients Undergoing Coronary Artery Bypass Graft with Fast-track Cardiac Anesthesia 

1999 ◽  
Vol 91 (4) ◽  
pp. 936-936 ◽  
Author(s):  
David T. Wong ◽  
Davy C. H. Cheng ◽  
Rafal Kustra ◽  
Robert Tibshirani ◽  
Jacek Karski ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Fast Track ◽  
Logistic Models ◽  
Female Gender ◽  
Cardiac Anesthesia ◽  
Delayed Extubation ◽  
Cabg Patients

Background Risk factors of delayed extubation, prolonged intensive care unit (ICU) length of stay (LOS), and mortality have not been studied for patients administered fast-track cardiac anesthesia (FTCA). The authors' goals were to determine risk factors of outcomes and cardiac risk scores (CRS) for CABG patients undergoing FTCA. Methods Consecutive CABG patients undergoing FTCA were prospectively studied. Outcome variables were delayed extubation > 10 h, prolonged ICU LOS > 48 h, and mortality. Univariate analyses were performed followed by multiple logistic regression to derive risk factors of the three outcomes. Simplified integer-based CRS were derived from logistic models. Bootstrap validation was performed to assess and compare the predictive abilities of CRS and logistic models for the three outcomes. Results The authors studied 885 patients. Twenty-five percent had delayed extubation, 17% had prolonged ICU LOS, and 2.6% died. Risk factors of delayed extubation were increased age, female gender, postoperative use of intraaortic balloon pump, inotropes, bleeding, and atrial arrhythmia. Risk factors of prolonged ICU LOS were those of delayed extubation plus preoperative myocardial infarction and postoperative renal insufficiency. Risk factors of mortality were female gender, emergency surgery, and poor left ventricular function. CRSs were modeled for the three outcomes. The area under the receiver operating characteristic curve for the CRS-logistic models was not significantly different: 0.707/0.702 for delayed extubation, 0.851/0.855 for prolonged ICU LOS, and 0.657/0.699 for mortality. Conclusion In CABG patients undergoing FTCA, the authors derived and validated risk factors of delayed extubation, prolonged ICU LOS, and mortality. Furthermore, they developed a simplified CRS system with similar predictive abilities as the logistic models.

Fast-Track Cardiac Anesthesia: Use of Remifentanil Combined with Intrathecal Morphine as an Alternative to Sufentanil During Desflurane Anesthesia

2000 ◽  
Vol 91 (2) ◽  
pp. 283-287 ◽  
Author(s):  
Eduardo Zarate ◽  
Paige Latham ◽  
Paul F. White ◽  
Robert Bossard ◽  
Lisa Morse ◽  
...  
Keyword(s):  
Fast Track ◽  
Intrathecal Morphine ◽  
Cardiac Anesthesia

A89 Beta-Adrenergic Receptor Desensitization Is Greater in "Fast Track" than in Narcotic-Based Cardiac Anesthesia

1997 ◽  
Vol 87 (Supplement) ◽  
pp. 89A
Author(s):  
Christopher K. McQuitty ◽  
Ted K. Chiang ◽  
Sanjay Anand ◽  
Scott Lick ◽  
William E. Johnston
Keyword(s):  
Adrenergic Receptor ◽  
Fast Track ◽  
Receptor Desensitization ◽  
Cardiac Anesthesia ◽  
Beta Adrenergic Receptor ◽  
Beta Adrenergic

scholarly journals Fast-track recovery program after cardiac surgery in a teaching hospital: a quality improvement initiative

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Patryck Lloyd-Donald ◽  
Wen-Shen Lee ◽  
James W. Hooper ◽  
Dong Kyu Lee ◽  
Alice Moore ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Fast Track ◽  
Quality Improvement Initiative ◽  
Patient Access ◽  
Cardiac Anesthesia ◽  
Elective Cardiac Surgery ◽  
Recovery Program ◽  
Access To Surgery ◽  
Fast Track Recovery ◽  
Improve Patient

Abstract Objective Fast-track cardiac anesthesia (FTCA) is a technique that may improve patient access to surgery and maximize workforce utilization. However, feasibility and factors impacting FTCA implementation remain poorly explored both locally and internationally. We describe the specific intraoperative and postoperative protocols for our FTCA program, assess protocol compliance and identify reasons for FTCA failure. Results We tested the program in 16 patients undergoing elective cardiac surgery requiring cardiopulmonary bypass. There was 100% compliance with the FTCA protocols. Four (25%) patients successfully completed the FTCA protocol (extubated < 4 h postoperatively and discharged from the intensive care unit on the same operative day).

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