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


The evolution of fast-track recovery: development, establishment, prospects. Part 1

Authors: Diasamidze K.E., Yalieva L.K., Mishin G.M., Chitorelidze M.A.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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DOI: https://doi.org/10.24022/1814-6910-2022-19-3-211-220

UDC: 616-085

Link: Clinical Physiology of Blood Circulaiton. 2022; 3 (19): 211-220

Quote as: Diasamidze K.E., Yalieva L.K., Mishin G.M., Chitorelidze M.A. The evolution of fast-track recovery: development, establishment, prospects. Part 1. Clinical Physiology of Circulation. 2022; 19 (3): 211–20 (in Russ.). DOI: 10.24022/1814-6910-2022-19-3-211-220

Received / Accepted:  15.07.2022 / 17.09.2022

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Abstract

Fast-track cardiac care is a multimodal strategy with the ultimate aim of significant reduction in the duration of postoperative ventilation and early extubation within six hours after cardiac surgery. Fast-track treatment results in a decrease in intensive care unit stays and subsequently a possible reduction of hospitalization cost without compromising patient's safety.

The review highlights the development of the “fast-track” strategy, reflects the scientific debate about the prolonged postoperative mechanical ventilation and outlines the prospects for the development of the “fast-track” concept. In this paper the authors summarize international experience in implementation of an early extubation protocol and present results of the impact of time to extubation on the pace and effectiveness of rehabilitation of cardiac patients.

About Authors

  • Kakhaber E. Diasamidze, Dr. Med. Sci., Leading Researcher; ORCID
  • Luiza K. Yalieva, Resident Physician; ORCID
  • Georgiy M. Mishin, Postgraduate, Anesthesiologist-Intensivist; ORCID
  • Mariam A. Chitorelidze, Postgraduate, Anesthesiologist-Intensivist; ORCID

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