Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)-Reference-Cited by-同舟云学术

Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)

Published:2024-08-29 Issue: Volume: Page:
ISSN:1556-9845
Container-title:Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
language:en
Short-container-title:Innovations�(Phila)

Author:

Salenger Rawn¹,Ad Niv²,Grant Michael C.³,Bakaeen Faisal⁴^ORCID,Balkhy Husam H.⁵^ORCID,Mick Stephanie L.⁶,Sardari Nia Peyman⁷^ORCID,Kempfert Jörg⁸,Bonaros Nikolaos⁹,Bapat Vinayak¹⁰,Wyler von Ballmoos Moritz C.¹¹,Gerdisch Marc¹²,Johnston Douglas R.¹³,Engelman Daniel T.¹⁴

Affiliation:

1. Division of Cardiac Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

2. Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

3. Departments of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA

4. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, OH, USA

5. Section of Cardiac Surgery, University of Chicago Medicine, IL, USA

6. Department of Cardiothoracic Surgery, New York Presbyterian Weill Cornell Medicine, NY, USA

7. Department of Cardiothoracic Surgery, Heart and Vascular Centre Maastricht University Medical Centre, The Netherlands

8. Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Germany

9. Department of Cardiac Surgery, Medical University of Innsbruck, Austria

10. Department of Cardiothoracic Surgery, Abbott Northwestern Hospital Allina Health, Minneapolis, MN, USA

11. Department of Cardiovascular and Thoracic Surgery, Texas Health Harris Methodist Hospital, Fort Worth, TX, USA

12. Department of Cardiothoracic Surgery, Franciscan Health Indianapolis, IN, USA

13. Division of Cardiac Surgery, Department of Surgery, Northwestern University School of Medicine, Chicago, IL, USA

14. Heart and Vascular Program, Baystate Health, University of Massachusetts Medical School – Baystate, Springfield, MA, USA

Abstract

We convened a group of cardiac surgeons, intensivists, and anesthesiologists with extensive experience in minimally invasive cardiac surgery (MICS) and perioperative care to identify the essential elements of a MICS program and the relationship with Enhanced Recovery After Surgery (ERAS). The MICS incision should minimize tissue invasion without compromising surgical goals. MICS also requires safe management of hemodynamics and preservation of cardiac function, which we have termed myocardial management. Finally, comprehensive perioperative care through an ERAS program should be provided to allow patients to achieve optimal recovery. Therefore, we propose that MICS requires 3 elements: (1) a less invasive surgical incision (non–full sternotomy), (2) optimized myocardial management, and (3) ERAS. We contend that the full benefit of MICS can be achieved only by also utilizing an ERAS platform.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/15569845241264565

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