2024
Extubation After Cardiac Surgery: It’s Better Early, If Often
Grant M. Extubation After Cardiac Surgery: It’s Better Early, If Often. The Annals Of Thoracic Surgery 2024, 118: 699-700. PMID: 39182952, DOI: 10.1016/j.athoracsur.2024.06.026.Peer-Reviewed Original Research
2023
Perioperative hemodynamic monitoring in cardiac surgery
Grant M, Salenger R, Lobdell K. Perioperative hemodynamic monitoring in cardiac surgery. Current Opinion In Anaesthesiology 2023, 37: 1-9. PMID: 38085877, DOI: 10.1097/aco.0000000000001327.Peer-Reviewed Original ResearchMeSH KeywordsCardiac OutputCardiac Surgical ProceduresEchocardiography, TransesophagealHemodynamic MonitoringHemodynamicsHumansMonitoring, PhysiologicResuscitationConceptsPulmonary artery catheterCardiac surgeryArtery catheterHemodynamic monitoringInvasive alternativeLow-risk cardiac surgeryInvasive hemodynamic monitoringLow-risk patientsPerioperative hemodynamic monitoringPulse contour analysisPatient's hemodynamicsResuscitation therapyBedside cliniciansInvasive approachInvasive monitoringRecent studiesSurgeryMonitoring modalitiesQuestionable benefitCatheterRegular useBroader indicationsPatientsSelective useUseful alternativeERAS Cardiac Society turnkey order set for patient blood management: Proceedings from the AATS ERAS Conclave 2023
Salenger R, Hirji S, Rea A, Cangut B, Morton-Bailey V, Gregory A, Arora R, Grant M, Raphael J, Engelman D, Group E, Chatterjee S, Lobdell K, Crisafi C, McConnell G, Crotwell S, Reddy S. ERAS Cardiac Society turnkey order set for patient blood management: Proceedings from the AATS ERAS Conclave 2023. Journal Of Thoracic And Cardiovascular Surgery 2023, 168: 890-897.e4. PMID: 37866774, DOI: 10.1016/j.jtcvs.2023.10.034.Peer-Reviewed Original ResearchConceptsPatient blood managementPreoperative anemiaHemoglobin thresholdTransfusion of packed red blood cellsPillars of patient blood managementBlood managementClass IPacked red blood cellsImplementation of patient blood managementDiscontinued dual antiplatelet therapyTreating preoperative anemiaCardiac surgery patientsDual antiplatelet therapyTransfusion algorithmCardiac surgeryBlood lossAntifibrinolytic agentsCell saverIron replacementAntiplatelet therapySurgery patientsRed blood cellsConsensus manuscriptPublished guidelinesRoutine useExtubation After Cardiac Surgery: It’s Not the Destination, It’s the Journey
Grant M. Extubation After Cardiac Surgery: It’s Not the Destination, It’s the Journey. The Annals Of Thoracic Surgery 2023, 117: 94-95. PMID: 37839538, DOI: 10.1016/j.athoracsur.2023.09.047.Peer-Reviewed Original ResearchPractice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2
Makkad B, Heinke T, Sheriffdeen R, Khatib D, Brodt J, Meng M, Grant M, Kachulis B, Popescu W, Wu C, Bollen B. Practice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2. Anesthesia & Analgesia 2023, 137: 26-47. PMID: 37326862, DOI: 10.1213/ane.0000000000006506.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesicsAnalgesics, OpioidCardiac Surgical ProceduresHumansOpioid-Related DisordersPain ManagementPain, PostoperativeConceptsIntraoperative pain managementCardiac surgical patientsCardiac surgeryPain managementPractice advisorySurgical patientsEffective postoperative pain controlMultimodal analgesic strategyPostoperative pain controlPain management strategiesCardiac surgical proceduresPreoperative patient evaluationMeaningful patient outcomesHealth care costsAnalgesic strategiesMultimodal analgesicsOpioid exposurePain controlPerioperative usePostoperative distressFunctional recoveryPatient evaluationPatient outcomesRegional techniquesSurgical proceduresPain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society
Grant M, Chappell D, Gan T, Manning M, Miller T, Brodt J, Workgroup P, Shaw A, Engelman D, Mythen M, Guinn N, Aronson S, Schwartz J, Arora R, Morton-Bailey V, Brudney C, Bennett-Guerrero E, Reddy V, Guzzi L, Brown J, Crisafi C. Pain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society. Journal Of Thoracic And Cardiovascular Surgery 2023, 166: 1695-1706.e2. PMID: 36868931, DOI: 10.1016/j.jtcvs.2023.01.020.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidCardiac Surgical ProceduresConsensusEnhanced Recovery After SurgeryHumansPain ManagementPain, PostoperativeConceptsCardiac surgery patientsEnhanced recovery programmeHigh-dose opioidsOpioid stewardshipSurgery patientsPain managementCardiac surgeryNonopioid medicationsProvider educationOpioid prescription practicesCardiac surgery populationOptimal pain managementRole of opioidsAdult cardiac surgeryRegional anesthesia techniquesLevel of evidencePotential side effectsOptimal analgesiaOpioid administrationSurgery populationOpioid usePerioperative carePrescription practicesAnesthesia techniquesConsensus recommendations
2022
An Expert Review of Chest Wall Fascial Plane Blocks for Cardiac Surgery
Hargrave J, Grant M, Kolarczyk L, Kelava M, Williams T, Brodt J, Neelankavil J. An Expert Review of Chest Wall Fascial Plane Blocks for Cardiac Surgery. Journal Of Cardiothoracic And Vascular Anesthesia 2022, 37: 279-290. PMID: 36414532, DOI: 10.1053/j.jvca.2022.10.026.Peer-Reviewed Original ResearchMeSH KeywordsCardiac Surgical ProceduresHumansNerve BlockPain ManagementPain, PostoperativeThoracic SurgeryThoracic WallConceptsChest wall blocksPlane blockCardiac surgeryChest wallDeep serratus anterior plane blockCardiac surgical patient populationSerratus anterior plane blockErector spinae plane blockCardiac surgical populationChest wall analgesiaSurgical patient populationFascial plane blocksRegional anesthesia techniquesIpsilateral chest wallChest wall coverageSurgical populationEvidence-based implementationMedian sternotomySurgery pathwayPatient populationSurgical approachAnesthesia techniquesAnterior chestFascial planesInvasive techniquesRegional analgesia for cardiac surgery
Grant M, Gregory A, Ouanes J. Regional analgesia for cardiac surgery. Current Opinion In Anaesthesiology 2022, 35: 605-612. PMID: 35900740, DOI: 10.1097/aco.0000000000001169.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesiaAnalgesics, OpioidCardiac Surgical ProceduresHumansPain ManagementPain, PostoperativeConceptsCardiac surgeryRegional analgesiaRegional techniquesCardiac surgical settingChest wall blocksOpioid-sparing analgesiaOpioid-sparing approachPain management expertsPerioperative patient careOpioid requirementsOpioid administrationPain controlPain managementPerioperative carePatients' qualityRegional anesthesiaAnalgesiaSurgical settingSurgeryPatient careCareAnesthesiaAdministrationSurgical Triage and Timing for Patients With Coronavirus Disease: A Guidance Statement from The Society of Thoracic Surgeons
Grant M, Lother S, Engelman D, Hassan A, Atluri P, Moosdorf R, Hayanga J, Merritt-Genore H, Chatterjee S, Firstenberg M, Hirose H, Higgins J, Legare J, Lamarche Y, Kass M, Mansour S, Arora R. Surgical Triage and Timing for Patients With Coronavirus Disease: A Guidance Statement from The Society of Thoracic Surgeons. The Annals Of Thoracic Surgery 2022, 114: 387-393. PMID: 35595089, PMCID: PMC9113762, DOI: 10.1016/j.athoracsur.2022.05.001.Peer-Reviewed Original ResearchConceptsNew severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variantsSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variantsCOVID-19Coronavirus disease 2019 (COVID-19) pandemicCardiac surgical teamPublic health effortsDisease 2019 pandemicPerioperative periodPreoperative patientsCOVID-19 casesVascular surgeryCritical careEfficacious vaccineCardiac surgeonsCardiovascular AngiographyThoracic Surgeons WorkforceThoracic surgeonsCardiac interventionsSurgical teamHealth effortsSurgical triageGuidance statementsInterventional cardiologyProcedural servicesCoronavirus diseaseRegional for Cardiac Surgery: The Devil Is in the Details
Grant M. Regional for Cardiac Surgery: The Devil Is in the Details. The Annals Of Thoracic Surgery 2022, 114: 1568. PMID: 35395200, DOI: 10.1016/j.athoracsur.2022.03.052.Peer-Reviewed Original Research
2021
In Response
Grant M. In Response. Anesthesia & Analgesia 2021, 132: e79-e80. PMID: 33857998, DOI: 10.1213/ane.0000000000005452.Peer-Reviewed Original ResearchExpert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery
Hirji S, Salenger R, Boyle E, Williams J, Reddy V, Grant M, Chatterjee S, Gregory A, Arora R, Engelman D. Expert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery. World Journal Of Surgery 2021, 45: 917-925. PMID: 33521878, DOI: 10.1007/s00268-021-05964-1.Peer-Reviewed Original ResearchConceptsEnhanced recovery protocolCardiac surgeryStandardization of outcomesQuality improvement effortsConsensus guidelinesEnhanced recoveryExpert consensusHeterogenous groupCardiac programLevel of agreementKey data elementsEssential data elementsData elementsERASRound 1SurgeryRecovery protocolPositive consensusFocused listSteering Committee
2020
Retrograde Autologous Priming in Cardiac Surgery: Results From a Systematic Review and Meta-analysis.
Hensley N, Gyi R, Zorrilla-Vaca A, Choi C, Lawton J, Brown C, Frank S, Grant M, Cho B. Retrograde Autologous Priming in Cardiac Surgery: Results From a Systematic Review and Meta-analysis. Anesthesia & Analgesia 2020, 132: 100-107. PMID: 32947294, DOI: 10.1213/ane.0000000000005151.Peer-Reviewed Original ResearchMeSH KeywordsBlood Transfusion, AutologousCardiac Surgical ProceduresCardiopulmonary BypassHumansObservational Studies as TopicRandomized Controlled Trials as TopicConceptsAllogeneic red cell transfusionRed cell transfusionAcute kidney injuryCardiac surgical patientsCell transfusionCardiopulmonary bypassObservational studySystematic reviewAutologous primingRAP patientsSurgical patientsCardiac surgeryAdditional high-quality prospective studiesPerioperative allogeneic red cell transfusionIntraoperative red cell transfusionsHigh-quality prospective studiesSignificant increased oddsAllogeneic transfusionKidney injuryAdverse eventsControl patientsSecondary outcomesStroke outcomeOrgan injuryPrimary outcomeOpioid-Sparing Cardiac Anesthesia: Secondary Analysis of an Enhanced Recovery Program for Cardiac Surgery.
Grant M, Isada T, Ruzankin P, Gottschalk A, Whitman G, Lawton J, Dodd-O J, Barodka V. Opioid-Sparing Cardiac Anesthesia: Secondary Analysis of an Enhanced Recovery Program for Cardiac Surgery. Anesthesia & Analgesia 2020, 131: 1852-1861. PMID: 32889848, DOI: 10.1213/ane.0000000000005152.Peer-Reviewed Original ResearchMeSH KeywordsAgedAnalgesics, OpioidAnesthesia, Cardiac ProceduresCardiac Surgical ProceduresFemaleHumansMaleMiddle AgedPain, PostoperativeRecovery of FunctionConceptsIntraoperative opioid administrationEnhanced recovery programmeOpioid administrationCardiac surgeryNonopioid interventionsPostoperative outcomesNumber of interventionsOpioid patientsSecondary analysisSerratus anterior plane blockMorphine sulfate equivalentsOpioid-sparing strategiesPostoperative pain scoresFuture prospective studiesLength of stayLinear mixed-effects regression modelsMixed-effects regression modelsIntraoperative dexmedetomidineLower opioidPreoperative gabapentinMultimodal analgesiaPain scoresPostoperative complicationsOpioid usePlane blockReply: Have we done the best that we could have done?
Arora R, Hassan A, Haft J, Taskforce S, Ailawadi G, Atluri P, Engelman D, Grant M, George I, Legare J, Lother S, Whitman G. Reply: Have we done the best that we could have done? Journal Of Thoracic And Cardiovascular Surgery 2020, 160: e149-e151. PMID: 32800268, PMCID: PMC7423581, DOI: 10.1016/j.jtcvs.2020.05.071.Peer-Reviewed Original ResearchCardiac Surgical ProceduresClinical Laboratory TechniquesCoronavirusCoronavirus InfectionsCOVID-19 TestingHumansCardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes
Gregory A, Grant M, Boyle E, Arora R, Williams J, Salenger R, Chatterjee S, Lobdell K, Jahangiri M, Engelman D. Cardiac Surgery-Enhanced Recovery Programs Modified for COVID-19: Key Steps to Preserve Resources, Manage Caseload Backlog, and Improve Patient Outcomes. Journal Of Cardiothoracic And Vascular Anesthesia 2020, 34: 3218-3224. PMID: 32888804, PMCID: PMC7416680, DOI: 10.1053/j.jvca.2020.08.007.Peer-Reviewed Original ResearchMeSH KeywordsCardiac Surgical ProceduresCOVID-19Disease ManagementEnhanced Recovery After SurgeryHealth ResourcesHumansPatient Care TeamConceptsCardiac surgeryCOVID-19 careCOVID-19 pandemicEvidence-based measuresCurrent healthcare climatePerioperative carePatient outcomesProvider safetyPatient experienceEnhanced recoveryHigh-quality healthcareRecovery programPatient careSurgeryHospital capacityHealthcare climateMulti-disciplinary groupCareCOVID-19Supportive evidenceOutcomesCOVID-19 environmentPandemicPatientsRamping Up Delivery of Cardiac Surgery During the COVID-19 Pandemic: A Guidance Statement From The Society of Thoracic Surgeons COVID-19 Task Force
Engelman D, Lother S, George I, Ailawadi G, Atluri P, Grant M, Haft J, Hassan A, Legare J, Whitman G, Arora R, Surgery S. Ramping Up Delivery of Cardiac Surgery During the COVID-19 Pandemic: A Guidance Statement From The Society of Thoracic Surgeons COVID-19 Task Force. The Annals Of Thoracic Surgery 2020, 110: 712-717. PMID: 32407853, PMCID: PMC7215160, DOI: 10.1016/j.athoracsur.2020.05.002.Peer-Reviewed Original ResearchMeSH KeywordsAdvisory CommitteesBetacoronavirusCardiac Surgical ProceduresCoronavirus InfectionsCOVID-19Delivery of Health CareHumansPandemicsPneumonia, ViralSARS-CoV-2SurgeonsThoracic SurgeryConceptsCOVID-19 pandemic burdenSurgical programsHigh-risk anatomyUrgent operative proceduresCoronavirus disease 2019 (COVID-19) pandemicHealthcare systemCardiac surgical programsHealthcare deliveryDisease 2019 pandemicPublic health restrictionsCOVID-19 Task ForceCardiac surgeryClinical statusElective proceduresCOVID-19 casesPandemic burdenHealthcare workersOperative procedureSurgical proceduresRapid transmissibilityCase volumePandemic surgeGuidance statementsPatientsCare deliveryAdult cardiac surgery and the COVID-19 pandemic: Aggressive infection mitigation strategies are necessary in the operating room and surgical recovery
Engelman D, Lother S, George I, Funk D, Ailawadi G, Atluri P, Grant M, Haft J, Hassan A, Legare J, Whitman G, Arora R, Force T. Adult cardiac surgery and the COVID-19 pandemic: Aggressive infection mitigation strategies are necessary in the operating room and surgical recovery. Journal Of Thoracic And Cardiovascular Surgery 2020, 160: 447-451. PMID: 32689700, PMCID: PMC7185923, DOI: 10.1016/j.jtcvs.2020.04.059.Peer-Reviewed Original ResearchMeSH KeywordsBetacoronavirusCardiac Surgical ProceduresConsensusCoronavirus InfectionsCOVID-19Cross InfectionHeart DiseasesHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalInfectious Disease Transmission, Professional-to-PatientOccupational HealthOperating RoomsPandemicsPatient SafetyPneumonia, ViralRecovery RoomRisk AssessmentRisk FactorsSARS-CoV-2VirulenceAdult Cardiac Surgery and the COVID-19 Pandemic: Aggressive Infection Mitigation Strategies Are Necessary in the Operating Room and Surgical Recovery
Engelman D, Lother S, George I, Funk D, Ailawadi G, Atluri P, Grant M, Haft J, Hassan A, Legare J, Whitman G, Arora R, Force T. Adult Cardiac Surgery and the COVID-19 Pandemic: Aggressive Infection Mitigation Strategies Are Necessary in the Operating Room and Surgical Recovery. The Annals Of Thoracic Surgery 2020, 110: 707-711. PMID: 32353440, PMCID: PMC7185911, DOI: 10.1016/j.athoracsur.2020.04.007.Peer-Reviewed Original ResearchAdult cardiac surgery during the COVID-19 pandemic: A tiered patient triage guidance statement
Haft J, Atluri P, Ailawadi G, Engelman D, Grant M, Hassan A, Legare J, Whitman G, Arora R, Surgery T. Adult cardiac surgery during the COVID-19 pandemic: A tiered patient triage guidance statement. Journal Of Thoracic And Cardiovascular Surgery 2020, 160: 452-455. PMID: 32689701, PMCID: PMC7161470, DOI: 10.1016/j.jtcvs.2020.04.011.Peer-Reviewed Original ResearchMeSH KeywordsBetacoronavirusCardiac Surgical ProceduresConsensusCoronavirus InfectionsCOVID-19Cross InfectionHeart DiseasesHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalInfectious Disease Transmission, Professional-to-PatientOccupational HealthPandemicsPatient SafetyPneumonia, ViralRisk AssessmentRisk FactorsSARS-CoV-2TriageVirulenceConceptsCardiac surgeonsAdult cardiac surgeryCardiac surgery teamAdult cardiac surgeonsCardiac surgeryPatient assessmentCurrent novel coronavirus pandemicSurgery teamGuidance statementsNovel coronavirus pandemicMedical communityCOVID-19 pandemicInterdisciplinary teamSurgeonsPandemicOutpatientsPatientsSurgeryPhysicians