Patryck Lloyd-Donald1, Wen-Shen Lee1, James W Hooper1, Dong Kyu Lee2, Alice Moore1, Nikhil Chandra3, Peter McCall1, Siven Seevanayagam3, George Matalanis3, Stephen Warrillow4, Laurence Weinberg5,6. 1. Department of Anesthesia, Austin Health, Melbourne, VIC, Australia. 2. Department of Anesthesiology and Pain Medicine, Guro Hospital, Korea University School of Medicine, Seoul, Korea. 3. Department of Cardiac Surgery, Austin Health, Melbourne, Australia. 4. Department of Surgery, The University of Melbourne, Austin Health, Melbourne, Australia. 5. Department of Anesthesia, Austin Health, Melbourne, VIC, Australia. laurence.weinberg@austin.org.au. 6. Department of Surgery, The University of Melbourne, Austin Health, Melbourne, Australia. laurence.weinberg@austin.org.au.
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).
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).