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What Is ERAS Cardiac?

Content Type: Implementation | Provider

Created: September 30, 2023
Contributor(s): ERAS Cardiac Society Board Members
Editor(s): Cheryl Crisafi MSN RN CNL • Amanda Rea DNP CRNP AGACNP-BC CCRN CMC CSC E-AEC • Gina McConnell RN BSN CCR`N • Shannon Crotwell RN BSN CCRN • Vicki Morton DNP MSN AGNP-BC • Alexander Gregory MD FRCPC

Summary

Building a successful ERAS Cardiac program requires coordination across every phase of perioperative care. This module reviews the key principles of Enhanced Recovery After Surgery (ERAS) and highlights Dr. Marc Gerdisch’s comprehensive approach in practice.

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AI Assistance Statement

This summary was developed with assistance from artificial intelligence and reviewed, edited, and approved by the listed editor(s). Reference: OpenAI (2025). ChatGPT (November version) [Large language model]. 
https://chat.openai.com

ERAS Cardiac VEC Disclaimer

The Virtual Education Center (VEC) and all included content are intended to inform ERAS Cardiac Members on a wide range of topics related to enhanced recovery. The information presented has been provided by enhanced recovery experts and is for educational purposes only.

It is not intended to describe, recommend, or suggest any specific medical practice or intervention, nor should it be considered formal medical advice or consultation. The ERAS Cardiac Society cannot guarantee that the information provided is accurate or complete in every respect. Therefore, the Society is not responsible for any errors, omissions, or clinical outcomes resulting from application of the information obtained through the VEC.

All healthcare professionals should continue to exercise sound clinical judgment and base therapeutic decisions on the best available evidence and patient specific factors.

Educational materials produced by the Society for Enhanced Recovery After Cardiac Surgery (ERAS Cardiac) may be considered Open Access. Non commercial use of ERAS Cardiac educational materials, including images, audio, and video, in whole or in part, is permitted with the following conditions:

  • The content is not altered
  • The listed authors of the content and ERAS Cardiac are appropriately referenced, and
  • A URL address or hyperlink to the original material or the main web site [https://www.erascardiac.org/] is included in the reproduction

For questions or comments about the ERAS Cardiac VEC, please contact us.

References

  1. Williams JB, McConnell G, Allender JE, et al. One-year results from the first US-based enhanced recovery after cardiac surgery (ERAS Cardiac) program. The Journal of thoracic and cardiovascular surgery. 2019;157:1881-1888.
  2. Fleming IO, Garratt C, Guha R, Desai J, Chaubey S, Wang Y, Leonard S, Kunst G. Aggregation of Marginal Gains in Cardiac Surgery: Feasibility of a Perioperative Care Bundle for Enhanced Recovery in Cardiac Surgical Patients. J Cardiothorac Vasc Anesth. 2016 Jun;30(3):665-70. doi: 10.1053/j.jvca.2016.01.017. Epub 2016 Jan 16. PMID: 27321791.
  3. Li M, Zhang J, Gan TJ, Qin G, Wang L, Zhu M, Zhang Z, Pan Y, Ye Z, Zhang F, Chen X, Lin G, Huang L, Luo W, Guo Q, Wang E. Enhanced recovery after surgery pathway for patients undergoing cardiac surgery: a randomized clinical trial. Eur J Cardiothorac Surg. 2018 Sep 1;54(3):491-497. doi: 10.1093/ejcts/ezy100. PMID: 29514224.
  4. Zaouter C, Oses P, Assatourian S, Labrousse L, Rémy A, Ouattara A. Reduced Length of Hospital Stay for Cardiac Surgery-Implementing an Optimized Perioperative Pathway: Prospective Evaluation of an Enhanced Recovery After Surgery Program Designed for Mini-Invasive Aortic Valve Replacement. J Cardiothorac Vasc Anesth. 2019 Nov;33(11):3010-3019. doi: 10.1053/j.jvca.2019.05.006. Epub 2019 May 11. PMID: 31153719.
  5. Engelman DT, Ben Ali W, Williams JB, Perrault LP, Reddy VS, Arora RC, Roselli EE, Khoynezhad A, Gerdisch M, Levy JH, Lobdell K, Fletcher N, Kirsch M, Nelson G, Engelman RM, Gregory AJ, Boyle EM. Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations. JAMA Surg. 2019 Aug 1;154(8):755-766. doi: 10.1001/jamasurg.2019.1153. PMID: 31054241.
  6. Noss C, Prusinkiewicz C, Nelson G, Patel PA, Augoustides JG, Gregory AJ. Enhanced Recovery for Cardiac Surgery. J Cardiothorac Vasc Anesth. 2018 Dec;32(6):2760-2770. doi: 10.1053/j.jvca.2018.01.045. Epub 2018 Jan 31. PMID: 29503121.
  7. Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery: A Review. JAMA Surg. 2017 Mar 1;152(3):292-298. doi: 10.1001/jamasurg.2016.4952. PMID: 28097305.
  8. Gregory AJ, Noss CD, Chun R, Gysel M, Prusinkiewicz C, Webb N, Raymond M, Cogan J, Rousseau-Saine N, Lam W, van Rensburg G, Alli A, de Vasconcelos Papa F. Perioperative Optimization of the Cardiac Surgical Patient. Can J Cardiol. 2023 Apr;39(4):497-514. doi: 10.1016/j.cjca.2023.01.032. Epub 2023 Feb 4. PMID: 36746372.