Key result
Successful fast track cardiac surgery requires short-acting anesthetic agents, careful intraoperative management to limit early postoperative complications, and close cooperation among the surgical team.
Successful fast track cardiac surgery requires short-acting anesthetics, comprehensive intraoperative management, and close cooperation between anesthesiologists, perfusionists, and surgeons.
Supports coordinated fast-track protocols in cardiac surgery; leaves open rigorous testing of components in trials.
Fast track cardiac surgery involves the pre-requisite of an anaesthesia management based on short-acting agents. Many of the historical challenges have been now overcome by the availability of new-generation agents. Nevertheless, the tasks being actually asked to the cardiac anaesthesiologist for a successful fast track sequence include not only guaranteeing the adequate anaesthesia and analgesia levels but an overall intraoperative management limiting the occurrence of early post-operative complications, including an appropriate monitoring of neurologic and haemodynamic functions, as well as a careful management of haemostatic system. Additionally, a close co-operation with perfusionists and surgeons could greatly contribute for a successful fast track program.
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Marco Ranucci (2017) conducted a review in Fast track cardiac surgery. Fast track cardiac surgery anaesthesia management was evaluated. Successful fast track cardiac surgery requires short-acting anesthetic agents, careful intraoperative management to limit early postoperative complications, and close cooperation among the surgical team.
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