University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Cardiac Surgery


Tom Colletti, DHSc, PA-C


Purpose: The purpose of this systematic review is to give updated recommendations for optimal perioperative management using the enhanced recovery after surgery (ERAS) in the cardiac surgery population guidelines that can lead to improved clinical outcomes and potentially decrease hospital costs.

Method: The database search for this clinical review was conducted through PubMed (hosted by NCBI), Cochrane library (no hosting information), Google Scholar (hosted by Google), and the University of Lynchburg Knight Capron Library (hosted by the University of Lynchburg) without language restrictions. The following search strategy was conducted: (“Enhanced Recovery After Surgery OR ERAS OR Enhanced Recovery After Cardiac Surgery AND length of hospital stay”).

Results: Evidence-based research has demonstrated perioperative improved outcomes after the implementation of the cardiac society guidelines enhanced recovery after surgery (ERAS). Clinical outcomes including length of ICU (43 hours to 28 hours, P

Conclusion: In cardiac surgery, variable perioperative practices can lead to variable lengths of hospital stay and clinical outcomes. Data-driven pathway protocol specifically ERAS-C is becoming the standard in which cardiac surgery patient's perioperative care should be followed to decrease the length of hospital stay, overall complications, and hospital cost. Specific patient-tailored care can be incorporated into these recommendations. Implementation of ERAS in cardiac surgery following the ERAS in cardiac society evidence-based protocol should enable cardiac surgery groups a goal to strive towards.

Keywords: ERAS, cardiac surgery, multimodal analgesia, enhanced recovery, Implementation


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