Application of a Multidisciplinary Enhanced Recovery After Surgery Pathway to Improve Patient Outcomes After Transcatheter Aortic Valve Implantation

被引：22

作者：

Sola, Michael ^{[1
]}

Ramm, Cassandra J. ^{[2
]}

Kolarczyk, Lavinia M. ^{[3
]}

Teeter, Emily G. ^{[3
]}

Yeung, Michael ^{[2
]}

Caranasos, Thomas G. ^{[4
]}

Vavalle, John P. ^{[2
]}

机构：

[1] Univ N Carolina, Sch Med, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, Dept Med, Div Cardiol, Chapel Hill, NC USA

[3] Univ N Carolina, Dept Anesthesiol, Chapel Hill, NC USA

[4] Univ N Carolina, Div Cardiothorac Surg, Dept Surg, Chapel Hill, NC USA

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2016年 / 118卷 / 03期

关键词：

HIGH-RISK PATIENTS; POSTOPERATIVE DELIRIUM; CLINICAL-OUTCOMES; REPLACEMENT; STENOSIS; IMPACT; COMPLICATIONS; CARE; REHABILITATION; MALNUTRITION;

D O I：

10.1016/j.amjcard.2016.05.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Enhanced recovery after surgery (ERAS) protocols have proven effective in a variety of surgical specialties. Published reports on these pathways within cardiac surgery and interventional cardiology are limited. Invasive aortic valve replacement procedures are increasingly being performed by hybrid groups of interventional cardiologists and surgeons through transcatheter aortic valve implantation (TAVI). The TAVI patient population is at a higher surgical risk compared with those undergoing surgical aortic valve replacement since they are older, frailer, and have significant co-morbidities which result in an increased risk of perioperative complications. ERAS protocols have the potential to help these patients undergoing TAVI procedures. In conclusion, we propose a TAVI ERAS protocol with a call to -action for other centers to implement an ERAS protocol to improve hospital and cardiac outcomes. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：418 / 423

页数：6

共 50 条

[1] The implication of frailty on preoperative risk assessment [J].