VEC: ERAS Cardiac Protocols

Neuromonitoring & Brain Protection

Created: December 15, 2025 This page was reviewed by the ERAS Cardiac Editorial Team and is provided for general education only. Always talk with your care team about your individual treatment plan and recovery needs. How your care team helps protect your brain during...

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Surgical Site Infection

What Is a Surgical Site Infection? A Surgical Site Infection (SSI) is an infection that happens where your surgical incision was made, usually within 30 days of surgery. In cardiac surgery, this can include the chest incision or...

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Rigid Sternal Fixation

Why Rigid Sternal Fixation Is Used After Heart Surgery After heart surgery, your breastbone (sternum) needs time to heal. To do this, the surgeon must close and secure the sternum after the procedure. This is typically done using...

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Nutrition & Metabolic Support

Why Nutrition Matters in Heart Surgery Good nutrition before and after heart surgery can help you recover faster, feel stronger, and lower your risk of complications. Your body uses nutrients to heal wounds, fight infection, and...

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Postoperative Nausea and Vomiting (PONV)

Understanding Nausea and Vomiting After Heart Surgery Many patients feel sick to their stomach or vomit after heart surgery. This is called postoperative nausea and vomiting (PONV). While it can be uncomfortable, your care team takes...

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Multimodal Analgesia After Cardiac Surgery

Overview  Pain control is an important part of recovery after heart surgery. Many patients worry about pain after surgery, as well as the side effects of pain medications. To address this, care teams often use a multimodal...

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Early and Safe Extubation

Overview After heart surgery, many patients need temporary help with breathing while they recover from anesthesia and the procedure itself. This support is provided through a breathing tube connected to a ventilator. Removing this...

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Delirium Prevention & Monitoring

Summary Some patients may experience temporary changes in thinking or awareness after heart surgery. This is sometimes called delirium. It may include confusion, trouble focusing, or feeling disoriented. Not all hospitals follow the...

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Chest Tube Management and Drainage

Summary After heart surgery, chest tubes are sometimes used to help drain fluid or blood from around the heart and lungs. This drainage supports breathing and circulation while the body begins to heal. Care teams who use ERAS Cardiac...

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Early Ambulation and Physiotherapy

Summary After heart surgery, moving safely and at the right time can support recovery. This process is called early ambulation and physiotherapy. It does not mean strenuous exercise. It refers to gentle movement, walking with help,...

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Acute Kidney Injury (AKI)

Summary After heart surgery, the kidneys work harder as the body heals. This temporary stress is common and may affect how well the kidneys function. This change is called acute kidney injury, or AKI. Not all care teams use the same...

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