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Fast-Track Cardiac Anesthesia and Early Tracheal Extubation

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Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery

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Abstract

Fast-track cardiac care requires an interdisciplinary approach to anesthesia during surgery, as well as a coordinated approach after surgery, in order to achieve early extubation and an overall streamlined approach to recovery and hospital discharge. The use of protocols to define specific goals and criteria for extubation and an interdisciplinary team approach is an even more important determinant of success than the specific anesthetic agents chosen. A coordinated fast-track approach optimizes resource utilization in the perioperative setting while also improving patient outcomes, which ultimately translates to an overall improvement in value not only for patients, but also for healthcare professionals, hospitals, and health systems.

This chapter is an updated version of Martin J, Cheng D. “Fast-track cardiac anesthesia and early extubation,” in Taggart D and Puskas J (eds.) Coronary Artery Bypass Grafting, Oxford University Press (forthcoming 2020) 3,793w, by permission of Oxford University Press.

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Authors and Affiliations

  1. Department of Anesthesia and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Janet Martin & Davy C. H. Cheng

  2. Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Janet Martin

  3. Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI), Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Janet Martin & Davy C. H. Cheng

  4. WHO Collaborating Centre for Global Surgery, Anesthesia and Perioperative Care, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

    Janet Martin & Davy C. H. Cheng

Authors
  1. Janet Martin
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  2. Davy C. H. Cheng
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Correspondence to Janet Martin .

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Editors and Affiliations

  1. Distinguished University Professor Department of Anesthesia and Perioperative Medicine and Department of MedicineDivision of Critical Care Medicine, London Health Sciences Center and St Joseph’s Healthcare London Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Davy C.H. Cheng

  2. Associate Professor Department of Anesthesia and Perioperative Medicine and Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Janet Martin

  3. Professor of Surgery University of Toronto, Melanie Munk Chair of Cardiovascular Surgery University Health Network, Toronto, ON, Canada

    Tirone David

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Martin, J., Cheng, D.C.H. (2021). Fast-Track Cardiac Anesthesia and Early Tracheal Extubation. In: Cheng, D.C., Martin, J., David, T. (eds) Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-47887-2_4

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  • DOI: https://doi.org/10.1007/978-3-030-47887-2_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47886-5

  • Online ISBN: 978-3-030-47887-2

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