Orthopedic Principles to Facilitate Enhanced Recovery After

Critical care clinics · Oct 2020

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Orthopedic Principles to Facilitate Enhanced Recovery After Cardiac Surgery.

Enhanced recovery after surgery (ERAS) protocols recognize early postoperative mobilization as a driver of faster postoperative recovery, return to normal activities, and improved long-term patient outcomes. For patients undergoing open cardiac surgery, an opportunity for facilitating earlier mobilization and a return to normal activity lies in the use of improved techniques to stabilize the sternal osteotomy. By following the key orthopedic principles of approximation, compression, and rigid fixation, a more nuanced approach to sternal precaution protocols is possible, which may enable earlier patient mobilization, physical rehabilitation, and recovery.

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- Marc W Gerdisch, Keith B Allen, Yoshifumi Naka, Mark R Bonnell, Kevin P Landolfo, John Grehan, Kendra J Grubb, David J Cohen, T Sloane Guy, Nirav C Patel, and Vinod H Thourani.
- Department of Cardiothoracic Surgery, Franciscan Health Heart Center, 5255 East Stop 11 Road, Suite 200, Indianapolis, IN 46237, USA. Electronic address: mgerdisch@openheart.net.
- Crit Care Clin. 2020 Oct 1; 36 (4): 617-630.
AbstractEnhanced recovery after surgery (ERAS) protocols recognize early postoperative mobilization as a driver of faster postoperative recovery, return to normal activities, and improved long-term patient outcomes. For patients undergoing open cardiac surgery, an opportunity for facilitating earlier mobilization and a return to normal activity lies in the use of improved techniques to stabilize the sternal osteotomy. By following the key orthopedic principles of approximation, compression, and rigid fixation, a more nuanced approach to sternal precaution protocols is possible, which may enable earlier patient mobilization, physical rehabilitation, and recovery.Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

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Orthopedic Principles to Facilitate Enhanced Recovery After Cardiac Surgery.

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