Key result
Fast-track anaesthesia in cardiac and transplant surgeries reduces intensive care and hospital length of stay, though its implementation in India remains highly variable and requires standardized protocols.
Why the study?
Despite extensive worldwide literature on the safety and advantages of fast-track anaesthesia in cardiac and transplant surgeries, its implementation in India is highly variable and local literature remains scarce.
Fast-track anaesthesia in cardiac and transplant surgeries reduces ICU and hospital length of stay and costs, but requires standardized protocols and multidisciplinary collaboration for wider adoption in India.
Answers are grounded in this paper and cite their sources.
May support fast-track protocols in cardiac surgery; leaves open need for standardized Indian RCTs.
Fast-track anaesthesia (FTA) involves early tracheal extubation after surgery, ranging from extubation on-table to within 6-8 hours postoperatively. It is associated with reduced length of intensive care and hospital stay and fewer postoperative complications, which lead to cost savings for patients and more efficient use of resources for hospitals. Despite the extensive literature on the safety and advantages of FTA in cardiac and transplant surgeries worldwide, its implementation in India is highly variable. Moreover, literature on the use of FTA in India is also scarce. Standardised protocols, appropriate selection of patients potentially suitable for FTA, and multidisciplinary collaboration are essential to ensure the wider adoption and success of FTA in India.
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Guhabiswas et al. (2023) conducted a review in Cardiac and transplant surgeries. Fast-track anaesthesia (FTA) vs. Conventional anaesthesia was evaluated. Fast-track anaesthesia in cardiac and transplant surgeries reduces intensive care and hospital length of stay, though its implementation in India remains highly variable and requires standardized protocols.
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