Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Risk factors associated with fast-track after open heart surgery

Authors: Rybka М.М., Diasamidze К.E., Yudin G.V., Goncharov A.A., Chitorelidze М.А., Mishin G.М.

Link: Clinical Physiology of Blood Circulaiton. 2024; 21 (4): 354-368

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References

  1. Wong W.T., Lai V.K., Chee Y.E., Lee A. Fast-track cardiac care for adult cardiac surgical patients. Cochrane Database Syst Rev. 2016; 9 (9): CD003587. DOI: 10.1002/14651858.CD003587
  2. MacLeod J.B., D’Souza K., Aguiar C., Brown C.D., Pozeg Z., White C. et al. Fast tracking in cardiac surgery: is it safe? J. Cardiothorac. Surg. 2022; 17 (1): 69. DOI: 10.1186/s13019-022-01815-9
  3. Tiganila R., McCoy C., Gilbert R., Raco J. The safety of immediate extubation, and factors associated with delayed extubation, in cardiac surgical patients receiving fast-track cardiac anesthesia: an integrative review. Can. J. Respir. Ther. 2023; 59: 8–19. DOI: 10.29390/cjrt-2022-037
  4. Диасамидзе К.Э., Ялиева Л.К., Мишин Г.М., Читорелидзе М.А. Эволюция стратегии ранней активизации: развитие, формирование, взгляд в будущее. Часть 1. Клиническая физиология кровообращения. 2022; 19 (3): 211–220. DOI: 10.24022/1814-6910-2022-19-3-211-220
  5. Subramaniam K., DeAndrade D.S., Mandell D.R., Althouse A.D., Manmohan R., Esper S.A. et al. Predictors of operating room extubation in adult cardiac surgery. J. Thorac. Cardiovasc. Surg. 2017; 154 (5): 1656–1665.e2. DOI: 10.1016/j.jtcvs.2017.05.107
  6. Borracci R.A., Ochoa G., Ingino C.A., Lebus J.M., Grimaldi S.V., Gambetta M.X. Routine operation theatre extubation after cardiac surgery in the elderly. Interact. Cardiovasc. Thorac. Surg. 2016; 22 (5): 627–632. DOI: 10.1093/icvts/ivv409
  7. Rodriguez Blanco Y.F., Candiotti K., Gologorsky A., Tang F., Giquel J., Barron M.E. et al. Factors which predict safe extubation in the operating room following cardiac surgery. J. Card. Surg. 2012; 27 (3): 275–280. DOI: 10.1111/j.1540-8191.2012.01434.x
  8. Levey AS. Defining AKD: the spectrum of AKI, AKD, and CKD. Nephron. 2022; 146 (3): 302–305. DOI: 10.1159/000516647
  9. Patidar K.R., Naved M.A., Grama A., Adibuzzaman M., Aziz Ali A., Slaven J.E. et al. Acute kidney disease is common and associated with poor outcomes in patients with cirrhosis and acute kidney injury. J. Hepatol. 2022; 77 (1): 108–115. DOI: 10.1016/j.jhep.2022.02.009
  10. Williams M.L., He X., Rankin J.S., Slaughter M.S., Gammie J.S. Preoperative hematocrit is a powerful predictor of adverse outcomes in coronary artery bypass graft surgery: a report from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann. Thorac. Surg. 2013; 96 (5): 1628–1634; discussion 1634. DOI: 10.1016/j.athoracsur.2013.06.030
  11. Deng Y., Ma B., Wang X., Fan X., Nie Q., Gao X. et al. Association between nadir hematocrit and severe acute kidney injury after off-pump coronary artery bypass graft surgery: a retrospective cohort study based on the MIMIC-IV database. Med. Sci. Monit. 2022; 28: e937878. DOI: 10.12659/MSM.937878
  12. Yeşiler F.İ., Akmatov N., Nurumbetova O., Beyazpınar D.S., Şahintürk H., Gedik E., Zeyneloğlu P. Incidence of and risk factors for prolonged intensive care unit stay after open heart surgery among elderly patients. Cureus. 2022; 14 (11): e31602. DOI: 10.7759/cureus.31602
  13. Юдин Г.В., Рыбка М.М., Хинчагов Д.Я., Дибин Д.А., Гончаров А.А. Анемия как фактор риска дисфункции внутренных органов у больных, оперируемых по поводу приобретенных пороков сердца. Кардиология. 2021; 61 (4): 39–45.
  14. Kiessling A.H., Huneke P., Reyher C., Bingold T., Zierer A., Moritz A. Risk factor analysis for fast track protocol failure. J. Cardiothorac. Surg. 2013; 8: 47. DOI: 10.1186/1749-8090-8-47
  15. Constantinides V.A., Tekkis P.P., Fazil A., Kaur K., Leonard R., Platt M. et al. Fast-track failure after cardiac surgery: development of a prediction model. Crit. Care Med. 2006; 34 (12): 2875–2882. DOI: 10.1097/01.CCM.0000248724.02907.1B
  16. Lee A., Zhu F., Underwood M.J., Gomersall C.D. Fast-track failure after cardiac surgery: external model validation and implications to ICU bed utilization. Crit. Care Med. 2013; 41 (5): 1205–1213. DOI: 10.1097/CCM.0b013e31827711ad
  17. Rodriguez-Blanco Y.F., Carvalho E.M., Gologorsky A., Lo K., Salerno T.A., Gologorsky E. Factors associated with safe extubation in the operating room after on-pump cardiac valve surgery. J. Card. Surg. 2016; 31 (5): 274–281. DOI: 10.1111/jocs.12736
  18. Рыбка М.М., Хинчагов Д.Я., Мумладзе К.В., Голубев Е.П., Юдин Г.В., Айдашев Ю.Ю., Ворожка И.В. Выбор стратегии инфузионной терапии при операциях аортокоронарного шунтирования без искусственного кровообращения. Клиническая физиология кровообращения. 2022; 19 (4): 338–348. DOI: 10.24022/1814-6910-2022-19-4-338-348
  19. Юдин Г.В., Айдашев Ю.Ю., Рыбка М.М., Хинчагов Д.Я., Гончаров А.А., Мещанов Б.В. Метаболический статус и клиническое течение раннего послеоперационного периода у больных с приобретенными пороками сердца в зависимости от стратегии периоперационной инфузионной терапии. Сердечно-сосудистые заболевания. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2021; 22 (2): 289–299. DOI: 10.24022/1810-0694-2021-22-2-289-299
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  1. Wong W.T., Lai V.K., Chee Y.E., Lee A. Fast-track cardiac care for adult cardiac surgical patients. Cochrane Database Syst Rev. 2016; 9 (9): CD003587. DOI: 10.1002/14651858.CD003587
  2. MacLeod J.B., D’Souza K., Aguiar C., Brown C.D., Pozeg Z., White C. et al. Fast tracking in cardiac surgery: is it safe? J. Cardiothorac. Surg. 2022; 17 (1): 69. DOI: 10.1186/s13019-022-01815-9
  3. Tiganila R., McCoy C., Gilbert R., Raco J. The safety of immediate extubation, and factors associated with delayed extubation, in cardiac surgical patients receiving fast-track cardiac anesthesia: an integrative review. Can. J. Respir. Ther. 2023; 59: 8–19. DOI: 10.29390/cjrt-2022-037
  4. Diasamidze K.E., Yalieva L.K., Mishin G.M., Chitorelidze M.A. Evolution of fast-track strategy: development, management, and looking ahead. Part 1. Clinical Physiology of Circulation. 2022; 19 (3): 211–220 (in Russ.). DOI: 10.24022/1814-6910-2022-19-3-211-220
  5. Subramaniam K., DeAndrade D.S., Mandell D.R., Althouse A.D., Manmohan R., Esper S.A. et al. Predictors of operating room extubation in adult cardiac surgery. J. Thorac. Cardiovasc. Surg. 2017; 154 (5): 1656–1665.e2. DOI: 10.1016/j.jtcvs.2017.05.107
  6. Borracci R.A., Ochoa G., Ingino C.A., Lebus J.M., Grimaldi S.V., Gambetta M.X. Routine operation theatre extubation after cardiac surgery in the elderly. Interact. Cardiovasc. Thorac. Surg. 2016; 22 (5): 627–632. DOI: 10.1093/icvts/ivv409
  7. Rodriguez Blanco Y.F., Candiotti K., Gologorsky A., Tang F., Giquel J., Barron M.E. et al. Factors which predict safe extubation in the operating room following cardiac surgery. J. Card. Surg. 2012; 27 (3): 275–280. DOI: 10.1111/j.1540-8191.2012.01434.x
  8. Levey AS. Defining AKD: the spectrum of AKI, AKD, and CKD. Nephron. 2022; 146 (3): 302–305. DOI: 10.1159/000516647
  9. Patidar K.R., Naved M.A., Grama A., Adibuzzaman M., Aziz Ali A., Slaven J.E. et al. Acute kidney disease is common and associated with poor outcomes in patients with cirrhosis and acute kidney injury. J. Hepatol . 2022; 77 (1): 108–115. DOI: 10.1016/j.jhep.2022.02.009
  10. Williams M.L., He X., Rankin J.S., Slaughter M.S., Gammie J.S. Preoperative hematocrit is a powerful predictor of adverse outcomes in coronary artery bypass graft surgery: a report from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann. Thorac. Surg. 2013; 96 (5): 1628–1634; discussion 1634. DOI: 10.1016/j.athoracsur.2013.06.030
  11. Deng Y., Ma B., Wang X., Fan X., Nie Q., Gao X. et al. Association between nadir hematocrit and severe acute kidney injury after off-pump coronary artery bypass graft surgery: a retrospective cohort study based on the MIMIC-IV database. Med. Sci. Monit. 2022; 28: e937878. DOI: 10.12659/MSM.937878
  12. Yeşiler F.İ., Akmatov N., Nurumbetova O., Beyazpınar D.S., Şahintürk H., Gedik E., Zeyneloğlu P. Incidence of and risk factors for prolonged intensive care unit stay after open heart surgery among elderly patients. Cureus. 2022; 14 (11): e31602. DOI: 10.7759/cureus.31602
  13. Yudin G.V., Rybka M.M., Khinchagov D.Ya., Dibin D.A., Goncharov A.A. Anemia as a risk factor for dysfunction of internal organs in patients undergoing surgery for acquired heart defects. Cardiologiia. 2021; 61 (4): 39–45 (in Russ.).
  14. Kiessling A.H., Huneke P., Reyher C., Bingold T., Zierer A., Moritz A. Risk factor analysis for fast track protocol failure. J. Cardiothorac. Surg. 2013; 8: 47. DOI: 10.1186/1749-8090-8-47
  15. Constantinides V.A., Tekkis P.P., Fazil A., Kaur K., Leonard R., Platt M. et al. Fast-track failure after cardiac surgery: development of a prediction model. Crit. Care Med. 2006; 34 (12): 2875–2882. DOI: 10.1097/01.CCM.0000248724.02907.1B
  16. Lee A., Zhu F., Underwood M.J., Gomersall C.D. Fast-track failure after cardiac surgery: external model validation and implications to ICU bed utilization. Crit. Care Med. 2013; 41 (5): 1205–1213. DOI: 10.1097/CCM.0b013e31827711ad
  17. Rodriguez-Blanco Y.F., Carvalho E.M., Gologorsky A., Lo K., Salerno T.A., Gologorsky E. Factors associated with safe extubation in the operating room after on-pump cardiac valve surgery. J. Card. Surg. 2016; 31 (5): 274–281. DOI: 10.1111/jocs.12736
  18. Rybka M.M., Khinchagov D.Ya., Mumladze K.V., Golubev E.P., Yudin G.V., Aydashev Yu.Yu., Vorozhka I.V. Choice of infusion therapy strategy in coronary artery bypass grafting without bypass. Clinical Physiology of Circulation. 2022; 19 (4): 338–348 (in Russ.). DOI: 10.24022/1814- 6910-2022-19-4-338-348
  19. Yudin G.V., Aydashev Yu.Yu., Rybka M.M., Khinchagov D.Ya., Goncharov A.A., Meshchanov B.V. Metabolic status and clinical course of the early postoperative period in patients with acquired heart defects depending on the strategy of perioperative infusion therapy. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2021; 22 (2): 289–299 (in Russ.). DOI: 10.24022/1810-0694-2021-22-2-289-299

About Authors

  • Mikhail M. Rybka, Dr. Med. Sci., Deputy Director for Anesthesiology and Resuscitation, Head of the Department of Anesthesiology, Resuscitation and Intensive Care; ORCID
  • Kakhaber E. Diasamidze, Dr. Med. Sci., Leading Researcher; ORCID
  • Genadiy V. Yudin, Dr. Med. Sci., Head of Intensive Care Unit No. 3; ORCID
  • Andrey A. Goncharov, Cand. Med. Sci., Anesthesiologist; ORCID
  • Mariam A. Chitorelidze, Postgraduate; ORCID
  • Georgiy M. Mishin, Postgraduate; ORCID

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