Archives of the Turkish Society of Cardiology
Fast Track Recovery Protocol of Open Heart Surgery in High Risk Patients [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2001; 29(10): 626-632

Fast Track Recovery Protocol of Open Heart Surgery in High Risk Patients

Fevzi TORAMAN1, Eşref Hasan KARABULUT1, Sinan DAĞDELEN2, Sümer TARCAN1, Cem ALHAN1
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Fast track recovery protocol (FTRP) aims the extubation of the patie nt within 6-8 hours postoperatively, di scharge the patient from the intensive care unit (ICU) within 24 hours and from the hospital within 5 days after the operation. Currently available data is not sufficient for the applicability of this protocol in high risk patients. In th is study 203 consec uti ve high ri sk patients (EuroSCORE c 6) who underwent different card iac surgical procedures were evaluated for the applicability of FTRP. Factors increasing the time to extubation, ICU stay and length of hospital stay were s ıudied. Independent factors by logistic regression, were found to be determining increased time to extubation, EuroSCORE > 8 (p=O.OO 1 ), and additional cardiac procedures (p=0.02); for increased ICU s tay , blood usage (p=O.OOO I) and for increased length of hospital stay, time to exıubation > 360 minutes (p=0.02) and cardiopulmonary bypass period> 100 minules In 75 %of the patients FTRP was successfu lly applied. This study sugges ts that FTRP can be applied to high risk patients, however, perioperative and postoperative factors as well as preoperative ri sk factors play an important ro le for the success. Key words:

Keywords: Fast track, high r isk, open heart surgery.

How to cite this article
Fevzi TORAMAN, Eşref Hasan KARABULUT, Sinan DAĞDELEN, Sümer TARCAN, Cem ALHAN. Fast Track Recovery Protocol of Open Heart Surgery in High Risk Patients. Turk Kardiyol Dern Ars. 2001; 29(10): 626-632
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