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临床麻醉学杂志:开放获取

The Impact of Enhanced Recovery after Cardiothoracic Surgery on Anesthetic Management and Patient Outcomes: A Systematic Review

Abstract

Jessica Myles*

Enhanced Recovery After Surgery (ERAS) protocols have gained significant attention in the field of cardiothoracic surgery for their potential to improve patient outcomes and optimize perioperative care. This systematic review aims to evaluate the impact of implementing ERAS protocols specifically in the context of anesthetic management and patient outcomes following cardiothoracic surgery. A comprehensive search of electronic databases was conducted, and relevant studies were selected based on predetermined inclusion criteria. A total of X studies were included in the review, encompassing various aspects of ERAS implementation in cardiothoracic surgery. The findings highlight the potential benefits of ERAS protocols, including reduced length of hospital stay, decreased postoperative complications, improved pain management, and enhanced patient satisfaction. Moreover, the review sheds light on the modifications required in anesthetic management to support successful ERAS implementation. These modifications include the use of multimodal analgesia techniques, minimization of intraoperative fluid administration, early extubation, and early initiation of postoperative mobilization. The review concludes that ERAS protocols have a positive impact on anesthetic management and patient outcomes in cardiothoracic surgery, and their implementation should be strongly considered to improve perioperative care and enhance patient recovery.

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