Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
dc.rights.license | open | en_US |
hal.structure.identifier | Centre Hospitalier Universitaire [Strasbourg] [CHU Strasbourg] | |
dc.contributor.author | MERTES, Paul-Michel | |
dc.contributor.author | KINDO, Michel | |
hal.structure.identifier | Hôpital Privé Jacques Cartier [Massy] | |
dc.contributor.author | AMOUR, Julien | |
hal.structure.identifier | MitoVasc - Physiopathologie Cardiovasculaire et Mitochondriale [MITOVASC] | |
dc.contributor.author | BAUFRETON, Christophe | |
hal.structure.identifier | Institut Pascal [IP] | |
dc.contributor.author | CAMILLERI, Lionel | |
hal.structure.identifier | CHU Amiens-Picardie | |
hal.structure.identifier | Mécanismes physiopathologiques et conséquences des calcifications cardiovasculaires - UR UPJV 7517 [MP3CV] | |
dc.contributor.author | CAUS, Thierry | |
dc.contributor.author | CHATEL, Didier | |
hal.structure.identifier | Hôpital Européen Georges Pompidou [APHP] [HEGP] | |
hal.structure.identifier | Innovations thérapeutiques en hémostase = Innovative Therapies in Haemostasis [IThEM - U1140] | |
dc.contributor.author | CHOLLEY, Bernard | |
dc.contributor.author | CURTIL, Alain | |
dc.contributor.author | GRIMAUD, Jean-Philippe | |
hal.structure.identifier | Hôpital Saint-Joseph [Marseille] | |
dc.contributor.author | HOUEL, Remi | |
dc.contributor.author | KATTOU, Fehmi | |
hal.structure.identifier | Cardiovasculaire, métabolisme, diabétologie et nutrition [CarMeN] | |
dc.contributor.author | FELLAHI, Jean-Luc | |
hal.structure.identifier | CHU Marseille | |
dc.contributor.author | GUIDON, Catherine | |
hal.structure.identifier | CHU Dijon | |
dc.contributor.author | GUINOT, Pierre-Gregoire | |
hal.structure.identifier | Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases [ICAN] | |
dc.contributor.author | LEBRETON, Guillaume | |
dc.contributor.author | MARGUERITE, Sandrine | |
hal.structure.identifier | Biologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases | |
dc.contributor.author | OUATTARA, Alexandre | |
dc.contributor.author | FRUITHIOT, Sophie Provenchere | |
hal.structure.identifier | Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes] | |
dc.contributor.author | ROZEC, Bertrand | |
hal.structure.identifier | Laboratoire Traitement du Signal et de l'Image [LTSI] | |
dc.contributor.author | VERHOYE, Jean-Philippe | |
dc.contributor.author | VINCENTELLI, Andre | |
hal.structure.identifier | Clinique Pasteur [Toulouse] | |
dc.contributor.author | CHARBONNEAU, Helene | |
dc.date.accessioned | 2022-06-15T09:22:17Z | |
dc.date.available | 2022-06-15T09:22:17Z | |
dc.date.issued | 2022 | |
dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/140226 | |
dc.description.abstractEn | Objective: To provide recommendations for enhanced recovery after cardiac surgery (ERACS) based on a multimodal perioperative medicine approach in adult cardiac surgery patients with the aim of improving patient satisfaction, reducing postoperative mortality and morbidity, and reducing the length of hospital stay. Design: A consensus committee of 20 experts from the French Society of Anaesthesia and Intensive Care Medicine (Societe francaise d'anesthesie et de reanimation, SFAR) and the French Society of Thoracic and Cardiovascular Surgery (Societe francaise de chirurgie thoracique et cardio-vasculaire, SFCTCV) was convened. A formal conflict-of-interest policy was developed at the onset of the process and enforced throughout. The entire guideline process was conducted independently of any industry funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to guide the assessment of the quality of evidence. Methods: Six fields were defined: (1) selection of the patient pathway and its information; (2) preoperative management and rehabilitation; (3) anaesthesia and analgesia for cardiac surgery; (4) surgical strategy for cardiac surgery and bypass management; (5) patient blood management; and (6) postoperative enhanced recovery. For each field, the objective of the recommendations was to answer questions formulated according to the PICO model (Population, Intervention, Comparison, Outcome). Based on these questions, an extensive bibliographic search was carried out and analyses were performed using the GRADE approach. The recommendations were formulated according to the GRADE methodology and then voted on by all the experts according to the GRADE grid method. Results: The SFAR/SFCTCV guideline panel provided 33 recommendations on the management of patients undergoing cardiac surgery under cardiopulmonary bypass or off-pump. After three rounds of voting and several amendments, a strong agreement was reached for the 33 recommendations. Of these recommendations, 10 have a high level of evidence (7 GRADE 1+ and 3 GRADE 1-); 19 have a moderate level of evidence (15 GRADE 2+ and 4 GRADE 2-); and 4 are expert opinions. Finally, no recommendations were provided for 3 questions. Conclusions: Strong agreement existed among the experts to provide recommendations to optimise the complete perioperative management of patients undergoing cardiac surgery. (C) 2022 The Authors. Published by Elsevier Masson SAS on behalf of Societe francaise d'anesthesie et de reanimation (Sfar). | |
dc.language.iso | EN | en_US |
dc.title.en | Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump | |
dc.type | Article de revue | en_US |
dc.identifier.doi | 10.1016/j.accpm.2022.101059 | en_US |
dc.subject.hal | Sciences du Vivant [q-bio]/Médecine humaine et pathologie | en_US |
bordeaux.journal | ANAESTHESIA CRITICAL CARE & PAIN MEDICINE | en_US |
bordeaux.volume | 41 | en_US |
bordeaux.hal.laboratories | Biologie des maladies cardiovasculaires (BMC) - UMR 1034 | en_US |
bordeaux.issue | 3 | en_US |
bordeaux.institution | Université de Bordeaux | en_US |
bordeaux.institution | INSERM | en_US |
bordeaux.peerReviewed | oui | en_US |
bordeaux.inpress | non | en_US |
bordeaux.import.source | hal | |
hal.identifier | hal-03692568 | |
hal.version | 1 | |
hal.export | false | |
workflow.import.source | hal | |
dc.rights.cc | Pas de Licence CC | en_US |
bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=ANAESTHESIA%20CRITICAL%20CARE%20&%20PAIN%20MEDICINE&rft.date=2022&rft.volume=41&rft.issue=3&rft.au=MERTES,%20Paul-Michel&KINDO,%20Michel&AMOUR,%20Julien&BAUFRETON,%20Christophe&CAMILLERI,%20Lionel&rft.genre=article |
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