Fast-Tracking Cardiac Surgery


  • Ravi U. Pande
  • Nader D. Nader
  • Giuseppe D' Ancona
  • Nader D. Nader
  • Harry W. Donias



A "fast track" approach to cardiac surgery can be defined as a perioperative process involving rapid progress from preoperative preparation through surgery and discharge from the hospital. Although highly individualized among the various heart surgery centers, the fast-track process is a team activity. It requires a team of health care providers to interact with the patient at various phases, from admission to discharge. The necessary elements of the fast-track program are choice and the titration of short-acting anesthetic drugs, standardized surgical procedures, early extubation, rewarming and sustained postoperative normothermia, postoperative pain control, early ambulation, alimentation and discharge, and follow-up after discharge. We review the current approaches to some of these aspects of patient care.


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How to Cite

Pande, R. U., Nader, N. D., Ancona, G. D., Nader, N. D., & Donias, H. W. (2005). Fast-Tracking Cardiac Surgery. The Heart Surgery Forum, 6(4), 244-248.