Enhanced Recovery After Cardiac Surgery
Summary
Enhanced Recovery Protocols (ERPs or bundles) have been established in many surgical specialties (such as colon cancer and orthopaedic joint surgeries) for several years in hospitals worldwide. The principles of Enhanced Recovery Protocols are those of early mobilization and restoration of normal function as soon as possible after surgery. These principles are achieved by use of alternate pain control regimens and removing invasive lines and drains as soon as possible. The benefits of ERPs are improved patient experience, earlier return to normal function and reduced length of stay. Enhanced recovery protocols for cardiac surgery have been published by the Enhanced Recovery After Cardiac Surgery Society. The current study will investigate whether it is possible to utilise ERP bundles in the population of cardiac surgery patients at James Cook Hospital, with a view to rolling out a full ERP service. Secondary study outcomes will be patient-centred, including; pain scores, nausea and vomiting rates and time taken to return to normal function.
Timeline
- Start
- 2018-12-17
- Primary completion
- 2019-10-01
- Completion
- 2019-11-29
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Acetaminophen | Small molecule | 1 g | Intravenous |
| Subject | Bupivacaine | Other / unclassified | 1 mg/kg | Other |
| Subject | Bupivacaine | Other / unclassified | 2 mg/kg | Other |
| Subject | Dexamethasone | Small molecule | 8 mg | Intravenous |
| Subject | Gabapentin | Small molecule | 300 mg | Oral |
| Subject | Lansoprazole | Other / unclassified | 30 mg | Oral |
| Subject | Magnesium Sulfate | Other / unclassified | 50 mg/kg | Intravenous |
| Subject | Ondansetron | Other / unclassified | 4 mg | Intravenous |