Key result
Fast-tracking in pediatric cardiac surgery can be safely performed in many patients with congenital heart disease using a multidisciplinary coordinated approach.
This review highlights that fast-tracking in pediatric cardiac surgery can be safely performed with careful patient selection and a multidisciplinary approach.
Supports multidisciplinary fast-tracking in selected cases; hypothesis-generating pending prospective trials.
Fast-tracking in cardiac surgery refers to the concept of early extubation, mobilization and hospital discharge in an effort to reduce costs and perioperative morbidity. With careful patient selection, fast-tracking can be performed in many patients undergoing surgery for congenital heart disease (CHD). In order to accomplish this safely, a multidisciplinary coordinated approach is necessary. This manuscript reviews currently used anesthetic techniques, patient selection, and available information about the safety and patient outcome associated with this approach.
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Mittnacht et al. (2010) conducted a review in Congenital heart disease (CHD). Fast-tracking (early extubation, mobilization and hospital discharge) was evaluated. Fast-tracking in pediatric cardiac surgery can be safely performed in many patients with congenital heart disease using a multidisciplinary coordinated approach.
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