The Effect of Enhanced Recoveries after Surgery Protocol on the Outcomes of Patients Undergoing Cardiac Surgery

Shalaby Khalaf Mahran, Ghada; Abd El Aziz, Mervat; Ahmed, Mona Abd Elaziem; Taha, Ahmed; Elkhayat, Hussein

doi:10.21608/asnj.2021.59182.1106

The Effect of Enhanced Recoveries after Surgery Protocol on the Outcomes of Patients Undergoing Cardiac Surgery

Document Type : Original Article

Authors

¹ critical care,assiut university, faculty of nursing

² Critical care and emergency nursing-faculty of nursing-assiut university

³ lecturer of Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt

⁴ Lecturer, Department of Cardio-Thoracic Surgery , Faculty of Medicine, Assiut University

⁵ associate professor of Cardiothoracic surgery, Assiut university

10.21608/asnj.2021.59182.1106

Abstract

Abstract
Background: Enhanced recovery after cardiac surgery protocol is an evidence-based interdisciplinary process, which has not previously been systematically applied to cardiac surgery. Objectives: The aim of this study was to evaluate the clinical effectiveness of ERAS protocol compared with routine care on the outcomes of patients undergoing cardiac surgery. Methods: This study was conducted between January 2020 and December 2020. A total of 75 patients who underwent cardiac surgery by one surgical team were evaluated for eligibility. Five patients were excluded after the initial assessment; hence, 70 patients were randomly assigned to the ERAS protocol group and control group. Patients in the ERAS group received all elements of the ERAS protocol while patients in control group receive routine care. Tools: Preoperative assessment tool to form base line data, Intra-operative assessment tool to assess Ischemic time, bypass time, and operation time and postoperative evaluation tool to assess the patients' outcome were used in data collection .Results: The duration of ICU stay and duration of mechanical ventilation were significantly shorter in the ERAS group versus control group3.04 ± 0.74, 2.33 ± 0.8), versus (5.82±0.61, 4.64±2.13), respectively; P < 0.001). Post-operative bleeding and re intubation were less in ERAS group versus control group (10 %, 3.33 %), versus (36.67 %, 16.66 %), respectively; P = 0.03).Conclusions: ERAS protocol reduces the length of ICU and for patients undergoing cardiac surgery.

Keywords