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Cardiac Surgery: Bypass and Thoracotomy ERAS

Enhanced Recovery After Surgery (ERAS) pathways promote an evidence based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay, and minimizing post-operative complications. From scheduling through discharge, all phases of perioperative care are incorporated into ERAS pathways.  

ERAS Pathway:

Associated tools with this ERAS:

Inclusion and exclusion criteria

Inclusion:

  • Bypass cases  
  • Coarctation of aorta cases.  
  • Vascular ring cases.  
  • Patients > 6 months of age.  
  • Patients with American Society of Anesthesiologists (ASA) Physical Status I, II, or III.

Exclusion:  

  • Repeat sternotomy cases.  
  • Single ventricle physiology.  
  • Pre-op inpatients. 

Committee members involved in the development: 

  • J. Huffman, MD, FASA | Anesthesiology | Committee Co-chair  
  • C Taylor, MD | Anesthesiology | Committee Co-chair  
  • W. Douglas, MD | Cardiac Surgery | Committee Member  
  • A. Panchal, MD | Critical Care Medicine | Committee Member  
  • L. Malloy Walton, DO, MPH | Cardiology| Committee Member  
  • R. Hulse, MSN, APRN, PCNS, CPN | Anesthesiology | Committee Member  
  • R, Juhl, DNP, APRN, CPNP-AC, CCRN | Heart Center | Committee Member  
  • S. Lagergren, APRN | Heart Center | Committee Member  
  • M. McGraw, MSN, RN, CPNP | Heart Center | Committee Member  
  • T. Glenski, MD, MSHA, FASA | Anesthesiology, Evidence Based Practice | Committee Member 
  • A. Melanson, OTD, OTR/L | Evidence Based Practice | Committee Member 

Publication dates: 

  • Finalized date: July 2022 
  • Next expected revision date: July 2025 

If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu.

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.

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