February 13, 2009Anesthesia & Analgesia
Fast-Track Anesthesia and Cardiac Surgery: A Retrospective Cohort Study of 7989 Patients
Why the study?
Does fast-track cardiac anesthesia reduce in-hospital mortality and adverse outcomes in patients undergoing cardiac surgery compared to conventional high-dose opioid anesthesia?
Population
7,989 patients undergoing cardiac surgery. FTCA patients were slightly older, had more comorbidities, and…
Comparison
Fast-track cardiac anesthesia (FTCA) vs Conventional high-dose opioid cardiac anesthesia…
Design
Cohort
Follow-up
In-hospital
Authors
Discussion
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Member takes
Implication
FTCA was not associated with higher in-hospital mortality; leaves open whether it improves outcomes pending randomized trials.
Structured PICO
Does fast-track cardiac anesthesia reduce in-hospital mortality and adverse outcomes in patients undergoing cardiac surgery compared to conventional high-dose opioid anesthesia?
P
Population
7,989 patients undergoing cardiac surgery (FTCA group n=3,969; CCA group n=4,020). FTCA patients were slightly older, had more comorbidities, and were more likely to undergo valve surgery.
I
Intervention
Fast-track cardiac anesthesia (FTCA)
C
Comparator
Conventional high-dose opioid cardiac anesthesia (CCA) as a historical control group
O
Outcome
Incidence of in-hospital mortalityhard clinical
Fast-track cardiac anesthesia is safe and does not increase the risk of in-hospital mortality or adverse outcomes compared to conventional high-dose opioid anesthesia in patients undergoing cardiac surgery.
Limitations
- Use of a historical control group
Cite This Study
Svircevic et al. (2009) studied this question.