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Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump

dc.rights.licenseopenen_US
hal.structure.identifierCentre Hospitalier Universitaire [Strasbourg] [CHU Strasbourg]
dc.contributor.authorMERTES, Paul-Michel
dc.contributor.authorKINDO, Michel
hal.structure.identifierHôpital Privé Jacques Cartier [Massy]
dc.contributor.authorAMOUR, Julien
hal.structure.identifierMitoVasc - Physiopathologie Cardiovasculaire et Mitochondriale [MITOVASC]
dc.contributor.authorBAUFRETON, Christophe
hal.structure.identifierInstitut Pascal [IP]
dc.contributor.authorCAMILLERI, Lionel
hal.structure.identifierCHU Amiens-Picardie
hal.structure.identifierMécanismes physiopathologiques et conséquences des calcifications vasculaires - UR UPJV 7517 [MP3CV]
dc.contributor.authorCAUS, Thierry
dc.contributor.authorCHATEL, Didier
hal.structure.identifierHôpital Européen Georges Pompidou [APHP] [HEGP]
hal.structure.identifierInnovations thérapeutiques en hémostase = Innovative Therapies in Haemostasis [IThEM - U1140]
dc.contributor.authorCHOLLEY, Bernard
dc.contributor.authorCURTIL, Alain
dc.contributor.authorGRIMAUD, Jean-Philippe
hal.structure.identifierHôpital Saint-Joseph [Marseille]
dc.contributor.authorHOUEL, Remi
dc.contributor.authorKATTOU, Fehmi
hal.structure.identifierCardiovasculaire, métabolisme, diabétologie et nutrition [CarMeN]
dc.contributor.authorFELLAHI, Jean-Luc
hal.structure.identifierCHU Marseille
dc.contributor.authorGUIDON, Catherine
hal.structure.identifierCHU Dijon
dc.contributor.authorGUINOT, Pierre-Gregoire
hal.structure.identifierUnité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases [ICAN]
dc.contributor.authorLEBRETON, Guillaume
dc.contributor.authorMARGUERITE, Sandrine
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorOUATTARA, Alexandre
dc.contributor.authorFRUITHIOT, Sophie Provenchere
hal.structure.identifierCentre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
dc.contributor.authorROZEC, Bertrand
hal.structure.identifierLaboratoire Traitement du Signal et de l'Image [LTSI]
dc.contributor.authorVERHOYE, Jean-Philippe
dc.contributor.authorVINCENTELLI, Andre
hal.structure.identifierClinique Pasteur [Toulouse]
dc.contributor.authorCHARBONNEAU, Helene
dc.date.accessioned2022-06-15T09:22:17Z
dc.date.available2022-06-15T09:22:17Z
dc.date.issued2022
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/140226
dc.description.abstractEnObjective: 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.isoENen_US
dc.title.enGuidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.accpm.2022.101059en_US
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologieen_US
bordeaux.journalANAESTHESIA CRITICAL CARE & PAIN MEDICINEen_US
bordeaux.volume41en_US
bordeaux.hal.laboratoriesBiologie des maladies cardiovasculaires (BMC) - UMR 1034en_US
bordeaux.issue3en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcehal
hal.identifierhal-03692568
hal.version1
hal.exportfalse
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dc.rights.ccPas de Licence CCen_US
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