Evidence map›Paper›PMID 32090310›Full record

ArticleAnaesthesiology intensive therapy2020

Implementation of Enhanced Recovery After Surgery (ERAS) protocol in off-pump coronary artery bypass graft surgery. A prospective cohort feasibility study.

Michał Borys, Sławomir Żurek, Arkadiusz Kurowicki, Beata Horeczy, Bartłomiej Bielina, Justyna Sejboth, Bogumiła Wołoszczuk-Gębicka, Mirosław Czuczwar, Kazimierz Widenka

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In one paragraph

Article in Anaesthesiology intensive therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.4field-weighted citation impact, top 6% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Michał BorysSecond Department of Anesthesia and Intensive Care, Medical University of Lublin, Lublin, Poland.
Sławomir ŻurekClinical Department of Cardiac Surgery, Medical Faculty, University of Rzeszów, Rzeszów, Poland.
Arkadiusz KurowickiClinical Department of Cardiac Surgery, Medical Faculty, University of Rzeszów, Rzeszów, Poland.
Beata HoreczyDepartment of Anesthesiology and Intensive Care with the Center for Acute Poisoning, St. Jadwiga Provincial Clinical Hospital, Rzeszów, Poland.
Bartłomiej BielinaDepartment of Anesthesiology and Intensive Care with the Center for Acute Poisoning, St. Jadwiga Provincial Clinical Hospital, Rzeszów, Poland.
Justyna SejbothDepartment of Anaesthesia and Intensive Therapy, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland.
Bogumiła Wołoszczuk-GębickaDepartment of Anesthesiology and Intensive Care with the Center for Acute Poisoning, St. Jadwiga Provincial Clinical Hospital, Rzeszów, Poland.
Mirosław CzuczwarSecond Department of Anesthesia and Intensive Care, Medical University of Lublin, Lublin, Poland.
Kazimierz WidenkaClinical Department of Cardiac Surgery, Medical Faculty, University of Rzeszów, Rzeszów, Poland.
Rzeszów University · PLMedical University of Lublin · PLMedical University of Silesia · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary artery bypass graft (CABG) is the most commonly performed cardiac surgery procedure. Although some complications related to the cardiopulmonary bypass circuit are avoided during off-pump CABG (OP-CABG) procedures, prolonged mechanical ventilation and severe postoperative pain are still important issues.

methodsThis prospective cohort study aimed to assess the impact of the institutional Enhanced Recovery After Surgery (ERAS) protocol in patients undergoing OP-CABG. This protocol contained several modifications to the perioperative period, among which bilateral erector spinae plane block, remifentanil infusion, and patient-controlled analgesia (PCA) with oxycodone were the most important factors (ERAS group). The ERAS group was compared with the retrospective cohort (same surgeon) before the ERAS protocol was implemented (standard care group). The outcomes measured included the postoperative mechanical ventilation time, ICU and hospital stay, postoperative drainage time, postoperative troponin T level, pain severity evaluated via a numerical rating scale, and the total consumption of opioids in both groups of patients.

resultsOverall, 57 patients were analyzed - 29 in the ERAS group and 28 in the standard care group. The time of mechanical ventilation, thoracic drainage, and ICU and hospital stay was shorter in the ERAS group than in the standard care group. The pain was less intense in the ERAS patients, and the postoperative opioid demand was reduced. Moreover, the increase of the postoperative troponin T concentration was lower in the ERAS group.

conclusionsOur study showed that ERAS protocol implementation could improve patient outcomes after OP-CABG surgery.

Indexed as

Enhanced Recovery After SurgeryAgedAnalgesia, Patient-ControlledClinical ProtocolsCoronary Artery Bypass, Off-PumpFeasibility StudiesHumansIntensive Care UnitsLength of StayMiddle AgedProspective StudiesRespiration, ArtificialTroponin TTroponin Tcoronary artery bypass graftEnhanced Recovery After Surgeryerector spinae plane blocknumerical rating scalepatient-controlled analgesia

Identifiers

PMID32090310
PMCPMC10173132
OpenAlexW3012011225

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

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.