Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)

Rawn Salenger; Niv Ad; Michael C. Grant; Faisal Bakaeen; Husam H. Balkhy; Stephanie L. Mick; Peyman Sardari Nia; Joerg Kempfert; Nikolaos Bonaros; Vinayak Bapat; Moritz C. Wyler von Ballmoos; Marc Gerdisch; Douglas R. Johnston; Daniel T. Engelman; ERAS/MICS Working Group

doi:10.1177/15569845241264565

Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)

Rawn Salenger^*, Niv Ad, Michael C. Grant, Faisal Bakaeen, Husam H. Balkhy, Stephanie L. Mick, Peyman Sardari Nia, Joerg Kempfert, Nikolaos Bonaros, Vinayak Bapat, Moritz C. Wyler von Ballmoos, Marc Gerdisch, Douglas R. Johnston, Daniel T. Engelman, ERAS/MICS Working Group

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

We convened a group of cardiac surgeons, intensivists, and anesthesiologists with extensive experience in minimally invasive cardiac surgery (MICS) and perioperative care to identify the essential elements of a MICS program and the relationship with Enhanced Recovery After Surgery (ERAS). The MICS incision should minimize tissue invasion without compromising surgical goals. MICS also requires safe management of hemodynamics and preservation of cardiac function, which we have termed myocardial management. Finally, comprehensive perioperative care through an ERAS program should be provided to allow patients to achieve optimal recovery. Therefore, we propose that MICS requires 3 elements: (1) a less invasive surgical incision (non–full sternotomy), (2) optimized myocardial management, and (3) ERAS. We contend that the full benefit of MICS can be achieved only by also utilizing an ERAS platform.

Original language	English
Pages (from-to)	371-379
Number of pages	9
Journal	Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume	19
Issue number	4
DOIs	https://doi.org/10.1177/15569845241264565
Publication status	Published - 1 Aug 2024

Keywords

enhanced recovery
minimally invasive
cardiac surgery
perioperative
MITRAL-VALVE SURGERY
HYBRID CORONARY REVASCULARIZATION
ARTERY-BYPASS SURGERY
SHORT-TERM OUTCOMES
AORTIC CROSS-CLAMP
PERIOPERATIVE CARE
CARDIOPULMONARY BYPASS
CONSENSUS STATEMENT
SURGICAL-TECHNIQUE
CLINICAL-OUTCOMES

Access to Document

10.1177/15569845241264565

Cite this

Salenger, R., Ad, N., Grant, M. C., Bakaeen, F., Balkhy, H. H., Mick, S. L., Nia, P. S., Kempfert, J., Bonaros, N., Bapat, V., von Ballmoos, M. C. W., Gerdisch, M., Johnston, D. R., Engelman, D. T., & ERAS/MICS Working Group (2024). Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS). Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 19(4), 371-379. https://doi.org/10.1177/15569845241264565

@article{f94b2eff97504edab444e5b2d600700b,

title = "Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)",

abstract = "We convened a group of cardiac surgeons, intensivists, and anesthesiologists with extensive experience in minimally invasive cardiac surgery (MICS) and perioperative care to identify the essential elements of a MICS program and the relationship with Enhanced Recovery After Surgery (ERAS). The MICS incision should minimize tissue invasion without compromising surgical goals. MICS also requires safe management of hemodynamics and preservation of cardiac function, which we have termed myocardial management. Finally, comprehensive perioperative care through an ERAS program should be provided to allow patients to achieve optimal recovery. Therefore, we propose that MICS requires 3 elements: (1) a less invasive surgical incision (non–full sternotomy), (2) optimized myocardial management, and (3) ERAS. We contend that the full benefit of MICS can be achieved only by also utilizing an ERAS platform.",

keywords = "enhanced recovery, minimally invasive, cardiac surgery, perioperative, MITRAL-VALVE SURGERY, HYBRID CORONARY REVASCULARIZATION, ARTERY-BYPASS SURGERY, SHORT-TERM OUTCOMES, AORTIC CROSS-CLAMP, PERIOPERATIVE CARE, CARDIOPULMONARY BYPASS, CONSENSUS STATEMENT, SURGICAL-TECHNIQUE, CLINICAL-OUTCOMES",

author = "Rawn Salenger and Niv Ad and Grant, {Michael C.} and Faisal Bakaeen and Balkhy, {Husam H.} and Mick, {Stephanie L.} and Nia, {Peyman Sardari} and Joerg Kempfert and Nikolaos Bonaros and Vinayak Bapat and {von Ballmoos}, {Moritz C. Wyler} and Marc Gerdisch and Johnston, {Douglas R.} and Engelman, {Daniel T.} and {ERAS/MICS Working Group}",

year = "2024",

month = aug,

day = "1",

doi = "10.1177/15569845241264565",

language = "English",

volume = "19",

pages = "371--379",

journal = "Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery",

issn = "1556-9845",

publisher = "SAGE Publications Ltd",

number = "4",

}

Salenger, R, Ad, N, Grant, MC, Bakaeen, F, Balkhy, HH, Mick, SL, Nia, PS, Kempfert, J, Bonaros, N, Bapat, V, von Ballmoos, MCW, Gerdisch, M, Johnston, DR, Engelman, DT & ERAS/MICS Working Group 2024, 'Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)', Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, vol. 19, no. 4, pp. 371-379. https://doi.org/10.1177/15569845241264565

TY - JOUR

T1 - Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)

AU - Salenger, Rawn

AU - Ad, Niv

AU - Grant, Michael C.

AU - Bakaeen, Faisal

AU - Balkhy, Husam H.

AU - Mick, Stephanie L.

AU - Nia, Peyman Sardari

AU - Kempfert, Joerg

AU - Bonaros, Nikolaos

AU - Bapat, Vinayak

AU - von Ballmoos, Moritz C. Wyler

AU - Gerdisch, Marc

AU - Johnston, Douglas R.

AU - Engelman, Daniel T.

AU - ERAS/MICS Working Group

PY - 2024/8/1

Y1 - 2024/8/1

N2 - We convened a group of cardiac surgeons, intensivists, and anesthesiologists with extensive experience in minimally invasive cardiac surgery (MICS) and perioperative care to identify the essential elements of a MICS program and the relationship with Enhanced Recovery After Surgery (ERAS). The MICS incision should minimize tissue invasion without compromising surgical goals. MICS also requires safe management of hemodynamics and preservation of cardiac function, which we have termed myocardial management. Finally, comprehensive perioperative care through an ERAS program should be provided to allow patients to achieve optimal recovery. Therefore, we propose that MICS requires 3 elements: (1) a less invasive surgical incision (non–full sternotomy), (2) optimized myocardial management, and (3) ERAS. We contend that the full benefit of MICS can be achieved only by also utilizing an ERAS platform.

AB - We convened a group of cardiac surgeons, intensivists, and anesthesiologists with extensive experience in minimally invasive cardiac surgery (MICS) and perioperative care to identify the essential elements of a MICS program and the relationship with Enhanced Recovery After Surgery (ERAS). The MICS incision should minimize tissue invasion without compromising surgical goals. MICS also requires safe management of hemodynamics and preservation of cardiac function, which we have termed myocardial management. Finally, comprehensive perioperative care through an ERAS program should be provided to allow patients to achieve optimal recovery. Therefore, we propose that MICS requires 3 elements: (1) a less invasive surgical incision (non–full sternotomy), (2) optimized myocardial management, and (3) ERAS. We contend that the full benefit of MICS can be achieved only by also utilizing an ERAS platform.

KW - enhanced recovery

KW - minimally invasive

KW - cardiac surgery

KW - perioperative

KW - MITRAL-VALVE SURGERY

KW - HYBRID CORONARY REVASCULARIZATION

KW - ARTERY-BYPASS SURGERY

KW - SHORT-TERM OUTCOMES

KW - AORTIC CROSS-CLAMP

KW - PERIOPERATIVE CARE

KW - CARDIOPULMONARY BYPASS

KW - CONSENSUS STATEMENT

KW - SURGICAL-TECHNIQUE

KW - CLINICAL-OUTCOMES

U2 - 10.1177/15569845241264565

DO - 10.1177/15569845241264565

M3 - (Systematic) Review article

SN - 1556-9845

VL - 19

SP - 371

EP - 379

JO - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

JF - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

IS - 4

ER -

Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)

Abstract

Keywords

Access to Document

Fingerprint

Cite this