Back to Search
Start Over
Enhanced Recovery after Surgery in Patients Implanted with Left Ventricular Assist Device
- Source :
- The Journal of Heart and Lung Transplantation. 40:S451-S452
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Purpose We sought to develop and implement a comprehensive enhanced recovery after surgery protocol for patients implanted with left ventricular assist device. Methods Our approach to the development and phased implementation of the ERAS protocol were described (Figure 1). We retrospectively reviewed prospectively collected LVAD implant data at our institution between February 2019 and August 2020. Patients were divided into 6-months period cohorts: Pre-ERAS cohort (which covered 6 months prior to ERAS initiation) and ERAS cohort. A time gap of 6 months between the cohorts was used to appreciate initial outcomes after implementing most of the protocol phases. Results Of the 115 LVAD implants, 38 patients were classified in pre-ERAS cohort and 46 in ERAS cohort. We reduced transfusions and discharge on opioids and show a trend towards reduced intubation times, ICU and overall length of stay (Table 1). Conclusion ERAS for advanced heart failure patients deemed candidates for LVAD therapy is a novel, evidence-based, interdisciplinary approach to care with multiple potential benefits. We described details of the protocol, challenges faced as well as early positive changes in clinical outcomes. Further studies are needed to both assess provider satisfaction and evaluate benefits of an ERAS protocol in reduction of adverse events.
- Subjects :
- Pulmonary and Respiratory Medicine
Transplantation
medicine.medical_specialty
business.industry
medicine.medical_treatment
medicine.disease
Heart failure
Ventricular assist device
Cohort
Emergency medicine
medicine
Intubation
Surgery
In patient
Implant
Cardiology and Cardiovascular Medicine
business
Adverse effect
Enhanced recovery after surgery
Subjects
Details
- ISSN :
- 10532498
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- The Journal of Heart and Lung Transplantation
- Accession number :
- edsair.doi...........b0a2fd76f349f6afbe2ee8c1efd1a26c