ENCARE INTRODUCES EIAS PROTOCOL FOR CARDIAC SURGERY

We’re thrilled to announce that we are now offering an additional EIAS Protocol for Cardiac Surgery to the ERAS® Interactive Audit System (EIAS).

BENEFITS OF ERAS® FOR CARDIAC SURGERY

• One full day reduction of Length of Stay ^{(1, 2)} and reduction of ICU stay by up to 16h ^{(1, 2, 3)}
• Significant cost savings of 1909€/patient ⁽⁸⁾
• Fewer rates of blood transfusion ⁽⁴⁾, reduced post-op urinary tract infections by 4,7% ⁽²⁾, reduced post-op ventilator incidences by 2.9% ⁽²⁾, lower post-op pain scores ⁽⁴⁾
• Reduced 30-day mortality by 3.5% (2) for open aortic procedures and 0.7% for cabg/valve operations ⁽²⁾
• Reduced opioid-use by 25-79% ^{(1, 5, 6, 7)}
• Reduced postoperative reinterventions for tamponade or hemothorax, and atrial fibrillation ^{(9, 10, 11)}
• Early detection and intervention of AKI ^{(12, 13, 14)} and Delirium ^{(15, 16)}

CARDIAC PROCEDURES COVERED IN THE NEW PROTOCOL INCLUDE:

• CABG
• Aortic Surgery
• Valve Surgery
• Surgical Ablation/Maze
• Cardiopulmonary bypass (CPB)
• Other Cardiac Procedure, except Afib

COMPLIANCE AREAS COVERED IN THE PROTOCOL:

• Perioperative Opioid use
• Perioperative SSI prevention
• Patient Blood Management
• Acute Kidney Injury (AKI)
• Delirium
• Atrial Fibrillation

The guidelines based on best practice allow standardization of the perioperative pathway for cardiac surgery.

With Encare’s solutions for ERAS® implementation (ERAS® Interactive Audit System and ERAS® Implementation Program) we support you in making the most out of the guidelines.

WHY CHOOSE EIAS?

With our platform, you’re adopting a truly evidence-based, multidisciplinary, and perioperative approach, based on the most up-to-date clinical knowledge.

EIAS users have reported overall improved patient outcomes by increasing compliance towards the ERAS® Society guidelines and thereby lowering the number of complications, reducing length of stay while at the same time showing substantial cost savings.

SPREAD THE WORD & BOOK A DEMO

We believe that this update can benefit all healthcare providers who perform cardiac surgeries. If this includes you, take the opportunity to begin your true ERAS® journey!

We’re also offering personalized demos to guide you through the new features. Book your slot here and get a hands-on experience as well as a consultation on ERAS®  implementation.

REFERENCES:

1. Gebauer A, Konertz J, Petersen J, Brickwedel J, Köster D, Schulte-Uentrop L, Reichenspurner H, Girdauskas E. The impact of a standardized Enhanced Recovery After Surgery (ERAS) protocol in patients undergoing minimally invasive heart valve surgery. PLoS One. 2023 Mar 24;18(3):e0283652. doi: 10.1371/journal.pone.0283652
2. Obafemi T, Mullis D, Bajaj S, Krishna P, Boyd J. Results following implementation of a cardiac surgery ERAS protocol. PLoS One. 2023 Jul 14;18(7):e0277868. doi: 10.1371/journal.pone.0277868. PMID: 37450443; PMCID: PMC10348550.
3. Mondal S, Bergbower EAS, Cheung E, Grewal AS, Ghoreishi M, Hollander KN, Anders MG, Taylor BS, Tanaka KA. Role of Cardiac Anesthesiologists in Intraoperative Enhanced Recovery After Cardiac Surgery (ERACS) Protocol: A Retrospective Single-Center Study Analyzing Preliminary Results of a Yearlong ERACS Protocol Implementation. J Cardiothorac Vasc Anesth. 2022 Nov 11:S1053-0770(22)00794-7. doi: 10.1053/j.jvca.2022.11.007.
4. Maj G, Regesta T, Campanella A, Cavozza C, Parodi G, Audo A. Optimal Management of Patients Treated With Minimally Invasive Cardiac Surgery in the Era of Enhanced Recovery After Surgery and Fast-Track Protocols: A Narrative Review. J Cardiothorac Vasc Anesth. 2022 Mar;36(3):766-775. doi: 10.1053/j.jvca.2021.02.035
5. Dahl JJ, Krebs ED, Teman NR, Hulse M, Thiele RH, Singh K, Yount KW; UVA Cardiac ERAS group. Cardiac Enhanced Recovery Program Implementation and Its Effect on Opioid Administration in Adult Cardiac Surgery. Semin Thorac Cardiovasc Surg. 2022 Aug 17:S1043-0679(22)00186-1. doi: 10.1053/j.semtcvs.2022.06.020.
6. Ronald Baxter, John Squiers, William Conner, Michael Kent, James Fann, Kevin Lobdell, J. Michael DiMaio, Enhanced Recovery After Surgery: A Narrative Review of its Application in Cardiac Surgery, The Annals of Thoracic Surgery, Volume 109, Issue 6, 2020, Pages 1937-1944, ISSN 0003-4975, https://doi.org/10.1016/j.athoracsur.2019.11.008.
7. Rawn Salenger, Sari D. Holmes, Amanda Rea, Jennifer Yeh, Kate Knott, Rachel Born, Michael J. Boss, Linda F. Barr, Cardiac Enhanced Recovery After Surgery: Early Outcomes in a Community Setting, The Annals of Thoracic Surgery, Volume 113, Issue 6, 2022, Pages 2008-2017, ISSN 0003-4975, https://doi.org/10.1016/j.athoracsur.2021.06.072.
8. Petersen, J., Kloth, B., Konertz, J. et al. Economic impact of enhanced recovery after surgery protocol in minimally invasive cardiac surgery. BMC Health Serv Res 21, 254 (2021). https://doi.org/10.1186/s12913-021-06218-5
9. Myles PS, Smith JA, Forbes A, et al; ATACAS Investigators of the ANZCA Clinical Trials Network. Tranexamic acid in patients undergoing coronary-artery surgery. N Engl J Med. 2017;376(2):136-148. doi:10.1056/NEJMoa1606424
10. Grieshaber P, Heim N, Herzberg M, Niemann B, Roth P, Boening A. Active chest tube clearance after cardiac surgery is associated with reduced reexploration rates. Ann Thorac Surg. 2018;105(6):1771-1777. doi:10.1016/j.athoracsur.2018.01.002
11. St-Onge S, Ben Ali W, Bouhout I, et al. Examining the impact of active clearance of chest drainage catheters on postoperative atrial fibrillation. J Thorac Cardiovasc Surg. 2017;154(2):501-508. doi:10.1016/j.jtcvs.2017.03.046
12. Mayer T, Bolliger D, Scholz M, et al. Urine biomarkers of tubular renal cell damage for the prediction of acute kidney injury after cardiac surgery: a pilot study. J Cardiothorac Vasc Anesth. 2017;31(6):2072-2079. doi:10.1053/j.jvca.2017.04.024
13. Khwaja A. KDIGO clinical practice guidelines for acute kidney injury. Nephron Clin Pract. 2012;120(4):c179-c184.
14. Xie X, Wan X, Ji X, et al. Reassessment of acute kidney injury after cardiac surgery: a retrospective study. Intern Med. 2017;56(3):275-282. doi:10.2169/internalmedicine.56.7638
15. Siddiqi N, Harrison JK, Clegg A, et al. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Syst Rev. 2016;3:CD005563.
16. Young J, Murthy L, Westby M, Akunne A, O’Mahony R; Guideline Development Group. Diagnosis, prevention, and management of