Evidence map›Paper›PMID 31054241›Full record

SynthesisJAMA surgery2019

Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations.

Daniel T Engelman, Walid Ben Ali, Judson B Williams, Louis P Perrault, V Seenu Reddy, Rakesh C Arora, Eric E Roselli, Ali Khoynezhad, Marc Gerdisch, Jerrold H Levy and 7 more

16 registry-linked trialsAbstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in JAMA surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 16 registered trials, which are not on this map. Cited by 448 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
448citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05282303 completednot on this mapstarted 2020, after this paper: background citation

Regional analgesia techniques for effective recovery to coronary artery bypass surgeries: a retrospecti̇ve study in a single center experience

TypeobservationalSponsorV.K.V. American Hospital, IstanbulRan2020 to 2021Enrolled221ConditionsPostoperative PainArmsCABG operation
NCT05285098 unknown statusnot on this mapstarted 2021, after this paper: background citation

Retrospective Analysis of 15 Years of Leipzig "Fast-Track" Concept.

TypeobservationalSponsorHeart Center Leipzig - University HospitalRan2021 to 2022Enrolled20,000ConditionsPost-cardiac Surgery
NCT05518266 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Ultrasound-guided Versus Surgeon Delivered Post-incisional Parasternal Block in Adult Patients Undergoing Open Cardiac Surgery: Are They the Same?

TypeinterventionalSponsorAssiut UniversityRan2022 to 2023Enrolled88ConditionsParasternal Intercostal Nerve BlockArmsUS-guided Parasternal block, Surgeon-delivered parasternal block
NCT05655910 narecruitingnot on this mapstarted 2022, after this paper: background citation

Enhanced Nutritional Optimization in LVAD (ENOL) Trial

TypeinterventionalSponsorColumbia UniversityRan2022 to 2027Enrolled50ConditionsHeart Failure, Gut Microbiome, Nutritional DeficiencyArmsEnsure Surgery Immunonutrition shake
NCT05665712 completednot on this map

Pediatric Enhanced Recovery After Cardiac Surgery: a Single-centre Retrospective Study

TypeobservationalSponsorUniversity of AlbertaRan2019 to 2023Enrolled483ConditionsERAS, Pediatric ALL, Congenital Heart DiseaseArmsenhanced recovery
NCT05667467 nacompletednot on this mapstarted 2021, after this paper: background citation

Investigation of the Effect of Care Bundle Implementation on Recovery Process in Open Heart Surgery Patients

TypeinterventionalSponsorHarran UniversityRan2021 to 2022Enrolled103ConditionsThoracic Surgery, Patient Care BundlesArmsCare Bundle Implementation
NCT05670483 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Use of Airway Pressure Release Ventilation in Morbidly Obese Patients Undergoing Open Heart Surgery to Improve Post Operative Pulmonary Outcomes

TypeinterventionalSponsorAin Shams UniversityRan2022 to 2023Enrolled60ConditionsPulmonary Atelectasis, Morbid Obesity, Pulmonary ComplicationArmsUse Of APRV mode of Ventilation, Use of conventional Synchronized Intermittent Mandatory Ventilation (SIMV) volume control mode
NCT05674253 early_phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

Combined Use of Dexmedetomidine and Hydrocortisone to Prevent New Onset Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery

TypeinterventionalSponsorAin Shams UniversityRan2022 to 2023Enrolled248ConditionsAtrial Fibrillation New OnsetArmsDexmedetomidine + Hydrocortisone
NCT05691920 phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

Ultrasound Guided External Oblique Intercostal Plane Block and Pectointercostal Plane Block for Perioperative Analgesia in Coronary Artery Bypass Graft Surgery: Prospective Randomized Controlled Study

TypeinterventionalSponsorAlexandria UniversityRan2023 to 2023Enrolled120ConditionsAnalgesia After Coronary Artery Bypass Graft SurgeryArmsPectointercostal plane block and external oblique intercostal plane block, Fentanyl infusion
NCT05834556 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Home-based Prehabilitation for Frail Cardiac Surgery Patients (HOME FREE) - A Quasi-experimental Feasibility Study

TypeinterventionalSponsorDr. Todd A DuhamelRan2023 to 2024Enrolled20ConditionsFrailty, Pre-operative Exercise, Prehabilitation, Cardiac SurgeryArmsPrehabilitation
NCT05964374 nacompletednot on this mapstarted 2023, after this paper: background citation

Goal-Directed Therapy (GDT) Using Hypotension Prediction Index (HPI) Following Cardiac Surgery: a Pilot Randomized Control Trial

TypeinterventionalSponsorUniversity of CalgaryRan2023 to 2025Enrolled100ConditionsSurgeryArmsGoal-directed therapy
NCT06028126 nacompletednot on this mapstarted 2023, after this paper: background citation

Efficacy of Intermittent Superficial Parasternal Intercostal Plane Block on Postoperative Pain Control in Patients Undergoing Cardiac Surgery With Median Sternotomy - EPOCH Randomized Clinical Trial

TypeinterventionalSponsorUnity Health TorontoRan2023 to 2026Enrolled340ConditionsPost-operative Pain, Post-operative Delirium, Post-cardiac Surgery, Chronic PainArmsIntermittent Superficial Parasternal Intercostal Plane Block - Experimental, Intermittent Superficial Parasternal Intercostal Plane Block - Placebo
NCT06257745 completednot on this mapstarted 2024, after this paper: background citation

Evaluation of the Revised Enhanced Recovery After Cardiac Surgery Protocol. A Prospective Audit.

Typeobservational_patient_registrySponsorUniversitaire Ziekenhuizen KU LeuvenRan2024 to 2025Enrolled487ConditionsEnhanced Recovery After Surgery, Cardiac Surgical ProceduresArmsCompliance with ERACS guideline as described in the current ERACS guidelines from Engelman et al. 2019
NCT06541483 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Multicenter Clinical Study of Ultra-Fast-Track Cardiac Anesthesia in Minimally Invasive Cardiac Surgery for Valvular Heart Disease

TypeinterventionalSponsorZhejiang Provincial People's HospitalRan2024 to 2028Enrolled1,200ConditionsHeart Valve Diseases, Enhanced Recovery After SurgeryArmsUltra-Fast-Track Cardiac Anesthesia(UFTCA), conventional general anesthesia (CGA)
NCT06566976 narecruitingnot on this mapstarted 2024, after this paper: background citation

Prehabilitation and Rehabilitation in PAD: A Randomized Exercise Intervention Trial (PREPARE-IT)

TypeinterventionalSponsorPalo Alto Veterans Institute for ResearchRan2024 to 2027Enrolled300ConditionsPeripheral Arterial DiseaseArmsExercise Intervention, VAPAHCS Rehabilitation Core Components
NCT06926764 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Intertransverse Process Block to Improve Quality of Recovery After Cardiac Surgery With Sternotomy: a Prospective Randomised Controlled Trial

TypeinterventionalSponsorChinese University of Hong KongRan2025 to 2027Enrolled100ConditionsAcute Postoperative PainArmsIntertransverse process block, Sham Block, Levobupivacaine 0.25%, Sodium Chloride (NaCl) 0.9 %, Ultrasound guided injection with local anaestethic
3 · Its place in the literature

Who cites it

448 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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388 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Daniel T EngelmanHeart and Vascular Program, Baystate Medical Center, Springfield, Massachusetts.
Walid Ben AliMontreal Heart Institute, Montreal, Canada.
Judson B WilliamsWakeMed Health and Hospitals, Raleigh, North Carolina.
Louis P PerraultMontreal Heart Institute, Montreal, Canada.
V Seenu ReddyCentennial Heart & Vascular Center, Nashville, Tennessee.
Rakesh C AroraSt Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada.
Eric E RoselliCleveland Clinic, Cleveland, Ohio.
Ali KhoynezhadMemorialCare Heart and Vascular Institute, Los Angeles, California.
Marc GerdischFranciscan Health Heart Center, Indianapolis, Indiana.
Jerrold H LevyDuke University School of Medicine, Durham, North Carolina.
Kevin LobdellAtrium Health, Department of Cardiovascular and Thoracic Surgery, North Carolina.
Nick FletcherSt Georges University of London, London, United Kingdom.
Matthias KirschCentre Hospitalier Universitaire Vaudois Cardiac Surgery Centre, Lausanne, Switzerland.
Gregg NelsonUniversity of Calgary, Calgary, Alberta, Canada.
Richard M EngelmanDepartment of Surgery, Baystate Medical Center, Springfield, Massachusetts.
Alexander J GregoryUniversity of Calgary, Calgary, Alberta, Canada.
Edward M BoyleDepartment of Cardiac Surgery, St Charles Medical Center, Bend, Oregon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhanced Recovery After Surgery (ERAS) evidence-based protocols for perioperative care can lead to improvements in clinical outcomes and cost savings. This article aims to present consensus recommendations for the optimal perioperative management of patients undergoing cardiac surgery. A review of meta-analyses, randomized clinical trials, large nonrandomized studies, and reviews was conducted for each protocol element. The quality of the evidence was graded and used to form consensus recommendations for each topic. Development of these recommendations was endorsed by the Enhanced Recovery After Surgery Society.

Indexed as

Cardiac Surgical ProceduresConsensusPractice Guidelines as TopicEnhanced Recovery After SurgeryHumansPerioperative Care

Identifiers

PMID31054241

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 10 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.