Fast-track Cardiac Surgery in Children: Feasibility in Bangladeshi Setting.
Loading...
Date
2010
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Fast-track recovery protocols in cardiac surgery is gaining worldwide popularity and
have contributed to significant reductions in the postoperative hospital stay and cost without any
increase in postoperative mortality and morbidity. The aim of this study was to find out the
feasibility of fast track paediatric cardiac surgery in Bangladeshi setting.
Method: It was a prospective study conducted in National Institute of Cardio-vascular Diseases,
Dhaka, from July 2009 to June 2010. All patients, between 3 to 18 years, underwent surgical closure
of atrial or ventricular septal defect under cardio-pulmonary bypass. 20 patients from our unit
served as fast track group and 30 patients from other units of the same hospital served as conventional
group. Fast track patients were extubated in less than 6 hours after surgery, shifted from ICU in less
than 24 hours and geared up to discharge home within 3 days of surgery.
Result: 18 (90%) of the 20 patient of the fast track group were discharged within 3 days of surgery,
2 patients cannot be discharged within this time frame. Mean post operative hospital stay for study
group was 3.1 days, whereas the mean hospital stay in the control group was 7.5 days. Follow-up was
100% complete at 30 days. There was no major in-hospital or out-of-hospital complications in either
group. No patient was readmitted at our centre or elsewhere for any complication arising from this
process.
Conclusion: Fast tracking is feasible and safe in low-risk paediatric open-heart surgery in Bangladeshi
scenario. A multidisciplinary approach with a set protocol is required to achieve this goal in a safe
and reproducible manner.
Description
Keywords
Citation
Quader S A, Sarker R, Ahmed F, Hasan M K, Beg A K, Salam A B M A, Ahmed N U. Fast-track Cardiac Surgery in Children: Feasibility in Bangladeshi Setting. Cardiovascular Journal. 2010; 3(1): 50-54.