Department of Anesthesia, Austin Health, Melbourne, VIC, Australia.
Department of Anesthesiology and Pain Medicine, Guro Hospital, Korea University School of Medicine, Seoul, Korea.
BMC Res Notes. 2021 May 22;14(1):201. doi: 10.1186/s13104-021-05620-w.
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.
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).
快速通道心脏麻醉（FTCA）是一种可能提高患者手术机会和最大化劳动力利用率的技术。然而，FTCA 的实施的可行性和影响因素在本地和国际上都还没有得到充分的探索。我们描述了我们的 FTCA 计划的特定术中及术后方案，评估了方案的依从性，并确定了 FTCA 失败的原因。
我们在 16 例行体外循环的择期心脏手术患者中测试了该方案。FTCA 方案的依从性为 100%。4 名（25%）患者成功完成了 FTCA 方案（术后 4 小时内拔管，并在同一手术日从重症监护病房出院）。
