University of Ottawa Heart Institute, Division of Cardiac Surgery.
University of Ottawa Heart Institute, Division of Cardiac Rehabilitation and Prevention.
Curr Opin Cardiol. 2023 Nov 1;38(6):471-477. doi: 10.1097/HCO.0000000000001076. Epub 2023 Aug 24.
This review discusses current guidelines and evidence-based care for the preoperative optimization of patients who are undergoing coronary artery bypass grafting (CABG) and for enabling rapid discharge after surgery.
Since the Enhanced Recovery After Cardiac Surgery Society (ERAS Cardiac) issued guidelines for perioperative care, in 2019, there has been a significant body of research that has added to and provided further guidance regarding preoperative optimization and accelerated recovery after CABG.
A review of the current literature provides a framework for a pragmatic approach to preoperative optimization, utilizing the time from referral to surgery to mitigate multiple aspects of the patient condition, leading to improved patient outcomes and reduced length of stay and cost to the healthcare system.
本文讨论了目前冠状动脉旁路移植术（CABG）患者术前优化和术后快速出院的指南和循证护理。
自 2019 年心脏手术后强化恢复协会（ERAS 心脏）发布围手术期护理指南以来，大量研究对 CABG 术前优化和加速康复提供了更多指导。
本文综述了当前文献，为术前优化提供了一个实用方法的框架，利用从转介到手术的时间来减轻患者病情的多个方面，从而改善患者预后，并降低医疗系统的住院时间和成本。
