非体外循环冠状动脉搭桥术后全胸骨切开术后第2天出院——连续2例快速出院报告
2nd postoperative day discharge after full sternotomy off pump coronary artery bypass grafting surgery - A report of 2 consecutive rapid discharges.
作者信息
Ammannaya Ganesh Kumar K
机构信息
Head, Department of CVTS, Accord Multispeciality Hospital, Bhuj, Gujarat 370001, India.
出版信息
Int J Surg Case Rep. 2023 Aug;109:108601. doi: 10.1016/j.ijscr.2023.108601. Epub 2023 Jul 29.
INTRODUCTION AND IMPORTANCE
Very early discharge after coronary artery bypass grafting (CABG), defined as discharge in ≤4 days after surgery, is considered safe and comes with a host of benefits including lower costs and earlier return to work.
CASE PRESENTATION
I present two consecutive cases of off pump coronary artery bypass grafting (OPCAB) performed through conventional full sternotomy that were discharged on the second post-operative day (at 36 and 42 h after surgery), the former being the earliest described in medical literature till date.
CLINICAL DISCUSSION
From my early experience, I list out all the factors that facilitated such ultra fast-track recovery and present a checklist to enable rapid (<2 days) discharge after CABG.
CONCLUSION
Enhanced recovery after cardiac surgery (ERACS) is feasible and holds great promise in optimizing patient care and outcomes.
引言与重要性
冠状动脉旁路移植术（CABG）后极早期出院，定义为术后≤4天出院，被认为是安全的，且带来诸多益处，包括成本降低和更早重返工作岗位。
病例展示
我呈现两例连续的非体外循环冠状动脉旁路移植术（OPCAB）病例，手术通过传统全胸骨切开术进行，术后第二天（术后36小时和42小时）出院，前者是迄今为止医学文献中描述的最早出院病例。
临床讨论
根据我早期的经验，我列出了所有促成这种超快速康复的因素，并给出了一份清单，以实现CABG术后快速（<2天）出院。
结论
心脏手术后的加速康复（ERACS）是可行的，在优化患者护理和治疗结果方面具有巨大潜力。
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