Enhanced Recovery After Cardiac Surgery Part I: Background and Preoperative Recommendations

Filmed at the 2019 STS Annual Meeting in San Diego, California, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS) for cardiac surgery. Dr Engelman, who is also the President of the ERAS Cardiac Society, is joined by Rakesh Arora of Saint Boniface Hospital in Winnipeg, Manitoba, Canada, Edward Boyle Jr of Saint Paul Medical Center in Bend, Oregon, USA, and Kevin Lobdell of Atrium Health in Charlotte, North Carolina, USA. The panel shares the background of cardiac ERAS, discussing why and how the group was formed and highlighting the benefit that ERAS brings to cardiac surgery. They also detail some of the key recommendations for preoperative interventions such as risk identification, prehabilitation, and preoperative nutrition.