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Ann Thorac Surg 1997;63:606-607
© 1997 The Society of Thoracic Surgeons


Editorials

Fast-Track Recovery in the Elderly Patient

Richard M. Engelman, MD

Division of Cardiac Surgery, Department of Surgery, Baystate Medical Center, Springfield, Massachusetts

The first 20% of the full text of this article appears below.

See also page 634.

Ott and associates [1] have reviewed their experience in an expedited recovery protocol after coronary artery bypass grafting to determine its efficacy in an elderly population. They have clearly shown that early discharge is feasible in a substantial proportion of patients 70 years of age or older (19% discharged in <5 days after operation and 88% in <10 days). As emphasized by Ott and associates, a carefully defined protocol is required that is based on an uncomplicated operation and an anesthetic approach permitting early extubation.

The expedited recovery protocol by Ott and associates primarily employs the fast-track principles as described by both Krohn and associates [2] and Engelman and associates [3] with some significant modifications that deserve editorial comment. First and foremost is the decision to promote as a major goal of their approach a reduction of operative time with cardiopulmonary bypass limited to less than 75 minutes and ischemic time to less than 45 minutes. This, by necessity, . . . [Full Text of this Article]


Related Article

Rapid Recovery After Coronary Artery Bypass Grafting: Is the Elderly Patient Eligible?
Richard A. Ott, Dan E. Gutfinger, Mark P. Miller, Hossein Alimadadian, and Teresa M. Tanner
Ann. Thorac. Surg. 1997 63: 634-639. [Abstract] [Full Text]



This article has been cited by other articles:


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N. Charokopos, P. Antonitsis, M. Toumbouras, J. Konstantinopoulos, and E. Rouska
Influence of Fast-Track Recovery after Coronary Artery Bypass in the Elderly
Asian Cardiovasc Thorac Ann, April 1, 2007; 15(2): 144 - 148.
[Abstract] [Full Text] [PDF]




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