2024
Cardiac Surgical Bleeding, Transfusion and Quality Metrics: Joint Consensus Statement by the Enhanced Recovery After Surgery Cardiac Society and Society for the Advancement of Patient Blood Management
Salenger R, Arora R, Bracey A, D'Oria M, Engelman D, Evans C, Grant M, Gunaydin S, Morton V, Ozawa S, Patel P, Raphael J, Rosengart T, Shore-Lesserson L, Tibi P, Shander A. Cardiac Surgical Bleeding, Transfusion and Quality Metrics: Joint Consensus Statement by the Enhanced Recovery After Surgery Cardiac Society and Society for the Advancement of Patient Blood Management. The Annals Of Thoracic Surgery 2024 PMID: 39222899, DOI: 10.1016/j.athoracsur.2024.06.039.Peer-Reviewed Original ResearchCardiac surgical bleedingRe-exploration rateControl of bleedingRe-explorationCardiac surgeryConsensus statementSurgical bleedingExcessive bleedingCessation of antithrombotic agentsRisk of excessive bleedingAssociated with major complicationsExcessive perioperative bleedingAdvancement of Patient Blood ManagementPreoperative risk scoreManagement of bleedingPatient blood managementBlood management strategiesJoint consensus statementManagement of transfusionPerioperative bleedingMajor complicationsBlood lossInternational expert panelImprove patient outcomesBleeding scale
2019
Opioid tolerance impacts compliance with enhanced recovery pathway after major abdominal surgery
Owodunni O, Zaman M, Ighani M, Grant M, Bettick D, Sateri S, Magnuson T, Gearhart S. Opioid tolerance impacts compliance with enhanced recovery pathway after major abdominal surgery. Surgery 2019, 166: 1055-1060. PMID: 31526584, DOI: 10.1016/j.surg.2019.08.001.Peer-Reviewed Original ResearchConceptsEnhanced recovery pathwayMajor abdominal surgeryOpioid-tolerant patientsOpioid toleranceAbdominal surgeryLength of stayTolerant patientsRecovery pathwaysPostoperative outcomesMajor complicationsPathway complianceChallenging patient cohortNon-tolerant patientsPoor postoperative outcomesOperative Severity ScoreEnUmeration of MortalityRisk-adjusted analysisPrescribed opioid medicationsOutcomes of interestEvidence-based interventionsColorectal PhysiologicalOral morphineOpioid medicationsEmergency surgeryReadmission rates