Journal of Perioperative Medicine
Open Access
ISSN: 2684-1290
+44 1478 350008
ISSN: 2684-1290
+44 1478 350008
Carlos Ramirez-Paesano
Anesthesiology Service (Anestalia), Centro MédicoTeknon,
calle Vilana 12, Barcelona, 08022
Spain
Research Article
Perioperative Risk Factors and Predictive Model Proposal of Ultra-Fast-Track Failure and Prolonged Hospital Length of Stay in a Preliminary Protocol of Enhanced Recovery after Off-Pump Coronary Artery Bypass Grafting by Left Anterolateral Thoracotomy
Author(s): Gustavo Muñoz-Galarce, Gustavo Muñoz-Monaco, Máximo C Guida, Nadine Odo and Carlos Ramirez-PaesanoGustavo Muñoz-Galarce, Gustavo Muñoz-Monaco, Máximo C Guida, Nadine Odo and Carlos Ramirez-Paesano
Background: The use of Ultra-fast-track (UFT) management in cardiac surgery may shorten hospital length of stay (Hosp-LOS) when is part of a protocol of enhance recovery after surgery (ERAS).
Methods: We retrospectively analyzed the data of the patients undergoing elective off-pump coronary artery bypass grafting (OPCAB) using UFT under a pilot program of ERAS at a Venezuelan nonprofit cardiac center from 2010 to 2014. The primary goal was to describe the short-term outcome of a consecutive case-series managed with desfluraneremifentanil- intercostals nerve block for OPCAB by Left-Anterolateral Thoracotomy and followed up by multidisciplinary enhance recovery pathway. The secondary goals were to identify perioperative predictors for UTF-failure and Hosp-LOS >4 days and try to propose a predictive risk model from the variables involved... View More»
DOI:
10.35248/2684-1290.18.1.108