Why the study?
Fast-track cardiac anesthesia may improve surgical access and workforce utilization, but the feasibility and factors impacting its implementation remain poorly explored.
Does a fast-track cardiac anesthesia program allow for early extubation and same-day ICU discharge in patients undergoing elective cardiac surgery?
Does a fast-track cardiac anesthesia program allow for early extubation and same-day ICU discharge in patients undergoing elective cardiac surgery?
Implementation of a fast-track cardiac anesthesia protocol in a teaching hospital achieved 100% compliance, though only 25% of patients met the criteria for same-day ICU discharge.
Should not yet change practice for fast-track cardiac anesthesia; leaves open feasibility of same-day ICU discharge after elective cardiac surgery.
OBJECTIVE: 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. RESULTS: 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).
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Lloyd‐Donald et al. (2021) studied this question.
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