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Fast-tracking in pediatric cardiac surgery - The current standing

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Author(s): Mittnacht Alexander | Hollinger Ingrid

Journal: Annals of Cardiac Anaesthesia
ISSN 0971-9784

Volume: 13;
Issue: 2;
Start page: 92;
Date: 2010;
Original page

Keywords: Congenital heart disease | congenital heart surgery | fast-tracking | early extubation

ABSTRACT
Fast-tracking in cardiac surgery refers to the concept of early extubation, mobilization and hospital discharge in an effort to reduce costs and perioperative morbidity. With careful patient selection, fast-tracking can be performed in many patients undergoing surgery for congenital heart disease (CHD). In order to accomplish this safely, a multidisciplinary coordinated approach is necessary. This manuscript reviews currently used anesthetic techniques, patient selection, and available information about the safety and patient outcome associated with this approach.
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