Perfecting the surgical journey.

The ERAS Cardiac Newsletter provides insight into current topics on enhanced recovery, new developments and research, Society news, as well as information on recent publications and upcoming meetings.

Highlights of the January 2025 Newsletter:

• REDUCED EF GOAL-DIRECTED MEDICAL THERAPY FOR SURGEONS
• POSTOPERATIVE DELIRIUM--A VEXING PROBLEM IN THE POSTOP PERIOD
• REAL-WORLD APPLICATION OF EVIDENCE-BASED MULTIMODAL ANALGESIA
• MULTIDISCIPLINARY ROUNDING: IMPROVING PATIENT OUTCOMES
• RECENT ERAS® CARDIAC PUBLICATIONS

Editor: Rawn Salenger MD

On September 30th, 2024 the International Society of Heart & Lung Transplant (ISHLT) and ERAS Cardiac collaborated on a webinar: "Enhanced Recovery after Cardiac Surgery in Advanced Heart & Lung Failure Surgery."

Enhanced Recovery after Cardiac Surgery (ERAS) is gaining increasing importance in general cardiac surgery. There is little experience for patients with advanced heart and lung failure. This webinar covers different aspects of ERAS in the setting of advanced heart and lung failure surgery.

Moderator
Alexander Bernhardt, MD

Presentations
The General Concept of Enhanced Recovery after Cardiac Surgery (ERAS)
Presented by Evaldas Girdauskas, MD

The ERAS Society and Future Directions of ERAS
Presented by Alexander Gregory, MD

ERAS in Left Ventricular Assist Device Surgery
Presented by Igor Gosev, MD

Impella 5.5 Implantation under Local Anaesthesia
Presented by Evgenij Potapov, MD

ERAS in Heart Transplant Surgery
Presented by Constanze Volgmann, MD

ERAS in Lung Transplant Surgery
Presented by Julien Fessler, MD

Panel Discussion
Nicolas Brozzi, MD
Hannah Copeland, MD
Kevin Lobdell
Dave Nagpal, MD, FRCSC
Hermann Reichenspurner MD, PhD
Koichi Toda, MD, PhD
Katherine Wood

WATCH WEBINAR HERE:

To assist clinicians in bringing existing guidelines and best practice recommendations to the bedside, ERAS Cardiac has created a series of "Turnkey Order Sets". These order sets have been created following review of the existing evidence, and provide a guide for implementation of these ERAS elements.

To assist with implementation of cardiac enhanced recovery after surgery (ERAS), we have created a sample turn key order set (TKO). The order set has been translated by subject matter experts using accumulated evidence, peer-reviewed literature, and current enhanced recovery practices.

TKO's for Prevention of Post-operative Atrial Fibrillation and Patient Blood Management have recently been published.

ERAS Cardiac is currently working on new TKO's that will be available soon, including multimodal analgesia, infection prevention, and pre-operative medication instructions.

All TKO's, including additional content, can be found on the Virtual Training Center which is accessible to our Society Members.

STS Annual Meeting, January 28, 2024.

San Antonio, USA

In 2019, the ERAS Cardiac Society published their original guidance, which reviewed the literature and provided recommendations regarding care elements for patients undergoing cardiac surgery. In the interim, new clinical data as well as recognition of additional potential perioperative strategies have necessitated an update. The ERAS Cardiac Society, in collaboration with the affiliated ERAS International Society, has assembled a committee of experts to develop a consensus statement to optimize care for the adult cardiac surgical patient.