Efficacy of enhanced recovery after on-pump coronary artery bypass grafting surgeries, controlled randomized prospective study

Document Type : Original Article

Authors

Anesthesiology, ICU, and Pain Management Faculty of Medicine, Cairo University

10.21608/ejca.2024.297899.1009

Abstract

Prolonged intubation and mechanical ventilation post-cardiac surgery have been demonstrated to be associated with increased hospital and intensive care unit length of stays; higher health care costs; and morbidity resulting from complications as atelectasis, intrapulmonary shunting, and pneumonia. in this study we assessed the impact of adopting ERAS protocol on extubation time as the primary outcome, the length of ICU stay of patients undergoing elective cardiac surgery, and the incidence of complications during their ICU stay as secondary outcomes.
The study was conducted at Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University, Cairo, Egypt.
the study enrolled 58 Patients who were candidates for on-pump coronary artery bypass grafting, after consenting each of them, they divided into two equal groups; ERAS group and traditional group.
The concept of ERAS is a bundle of management in our patient included preoperative feeding, intraoperative goal-directed fluid therapy, and postoperative pain management. The tradtional group is managed according to the traditional way of management of patients in Kasr Alainy according to the previous clinical trials conducted at Kasr Alainy.
we found that as regard post induction, post extubation, on pump MAP and off pump SBP and DBP, there was a statistically significant higher mean value in ERAS group compared to traditional group. According to extubation time and ICU stay, were reported that there was a statistically significant higher mean value in traditional group than ERAS group.
Conclusions: In patient undergoing elective cardiac surgery, ERAS protocol improves postoperative outcomes.

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