Werner, Adelina S. and Conrads, Hannah and Rosenberger, Johanna and Creutzenberg, Marcus and Graf, Bernhard M. and Foltan, Maik and Blecha, Sebastian and Stadlbauer, Andrea and Floerchinger, Bernhard and Tafelmeier, Maria and Arzt, Michael and Schmid, Christof and Bitzinger, Diane (2025) Effects of Implementing an Enhanced Recovery After Cardiac Surgery Protocol with On-Table Extubation on Patient Outcome and Satisfaction-A Before-After Study. JOURNAL OF CLINICAL MEDICINE, 14 (2): 352. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
Background/Objectives: Enhanced recovery after surgery (ERAS) protocols aim to improve clinical outcomes, shorten hospital length of stay (LOS), and reduce costs through a multidisciplinary perioperative approach. Although introduced in colorectal surgery, they are less established in cardiac surgery, especially in combination with on-table extubation (OTE). This study evaluates the impact of a novel ERAS concept with OTE (RERACS) in elective aortic-valve-replacement and coronary bypass surgery. Methods: In a monocentric study, we compared a prospective RERACS-group (n = 114) to a retrospective control group (n = 119) (TRIAL Registration (DRKS00031402). The RERACS concept contained multiple perioperative treatment measures such as respiratory training, short fasting, and OTE. The control group received standard care. Results: Primary endpoint: postoperative LOS. Secondary measurements: length of postoperative vasoactive drug support, duration of mechanical ventilation, complication rate, and patient satisfaction on the second postoperative day. RERACS patients showed significantly shorter postoperative length of stay (ICU: 40 +/- 34 h vs. 56 +/- 51 h, p = 0.005; hospital: 9 +/- 4 d vs. 11 +/- 6 d, p = 0.028), lower nosocomial infection rates (24% vs. 40%), fewer cases of postoperative cognitive dysfunction ((subsyndromal) delirium 40% vs. 57%), reduced nausea and vomiting (14.9% vs. 32.8%), and faster weaning from catecholamines (22 +/- 30 h vs. 42 +/- 48 h, p < 0.001), as well as high patient satisfaction. Conclusions: Our study indicated that an ERAS concept with OTE is safe and associated with faster and improved recovery, including lower catecholamine requirements, reduced LOS, and high patient satisfaction in low-risk cardiac surgery.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RISK-FACTORS; DELIRIUM; PREHABILITATION; COMPLICATIONS; IMPACT; NAUSEA; enhanced recovery after surgery (ERAS); on-table extubation; elective cardiac surgery; cardiac anesthesia; nausea and vomiting; postoperative cognitive dysfunction; patient satisfaction |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie Medicine > Lehrstuhl für Innere Medizin II |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 28 Jul 2026 09:29 |
| Last Modified: | 28 Jul 2026 09:29 |
| URI: | https://pred.uni-regensburg.de/id/eprint/66114 |
Actions (login required)
 |
View Item |
