Herzenssache – Fast Track in der Herzklappenchirurgie

Aktuell evaluieren zwei deutsche Unikliniken ein von der Bundesregierung gefördertes Fast-Track-Programm in der minimalinvasiven Herzklappenchirurgie. In Hamburg und Augsburg wird unter dem Namen INCREASE erforscht, wie Patient*innen am besten nach ihrer OP genesen. Die intensive interdisziplinäre Betreuung soll die optimale postoperative Rekonvaleszenz und frühe Alltagsaktivität ermöglichen. Die Physiotherapie ist Eckpfeiler im Behandlungsprozess.

Publication History

Article published online:
12 April 2023

• Literaturverzeichnis

• 1 Klotz SGR, Ketels G, Behrendt CA. et al Interdisciplinary and cross-sectoral perioperative care model in cardiac surgery: implementation in the setting of minimally invasive heart valve surgery (INCREASE)-study protocol for a randomized controlled trial. Trials 2022; 23: 528
• 2 Golder HJ, Papalois V. Enhanced Recovery after Surgery: History, Key Advancements and Developments in Transplant Surgery. J Clin Med 2021; 10: 1634
• 3 Engelman DT, Ben Ali W, Williams JB. et al Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations. JAMA Surg 2019; 154: 755-766
• 4 Zaouter C, Oses P, Assatourian S. et al Reduced Length of Hospital Stay for Cardiac Surgery-Implementing an Optimized Perioperative Pathway: Prospective Evaluation of an Enhanced Recovery After Surgery Program Designed for Mini-Invasive Aortic Valve Replacement. J Cardiothorac Vasc Anesth 2019; 33: 3010-3019
• 5 Kamal YA, Hassanein A. Do perioperative protocols of enhanced recovery after cardiac surgery improve postoperative outcome?. Interact Cardiovasc Thorac Surg 2020; 30: 706-710
• 6 Baxter R, Squiers J, Conner W. et al Enhanced Recovery After Surgery: A Narrative Review of its Application in Cardiac Surgery. Ann Thorac Surg 2020; 109: 1937-1944
• 7 Fleming IO, Garratt C, Guha R. et al Aggregation of Marginal Gains in Cardiac Surgery: Feasibility of a Perioperative Care Bundle for Enhanced Recovery in Cardiac Surgical Patients. J Cardiothorac Vasc Anesth 2016; 30: 665-670
• 8 Petersen J, Kloth B, Konertz J. et al Economic impact of enhanced recovery after surgery protocol in minimally invasive cardiac surgery. BMC Health Serv Res 2021; 21: 254