2024
Practice Advisory on the Implementation of Preoperative Anemia Management: The Society of Cardiovascular Anesthesiologists and the Society for the Advancement of Patient Blood Management
Klompas A, Hensley N, Burt J, Grant M, Guinn N, Patel P, Popescu W, Raphael J, Salenger R, Shore-Lesserson L, Warner M. Practice Advisory on the Implementation of Preoperative Anemia Management: The Society of Cardiovascular Anesthesiologists and the Society for the Advancement of Patient Blood Management. Anesthesia & Analgesia 2024 DOI: 10.1213/ane.0000000000007321.Peer-Reviewed Original ResearchPatient blood managementAdvancement of Patient Blood ManagementBlood managementPreoperative anemiaCardiac surgeryAnemia managementRed blood cell transfusionAssociated with worse outcomesPreoperative anemia clinicPatient blood management programBlood cell transfusionAcute kidney injuryBlood management programPreoperative anemia managementImproving clinical outcomesSociety of Cardiovascular Anesthesiologists (SCASociety of Cardiovascular AnesthesiologistsAnemia programCell transfusionAnemia clinicEducation of patientsAllogeneic transfusionCardiovascular complicationsKidney injuryTreatment algorithmReturn on Investment of Preoperative Anemia Management Programs in Cardiac Surgery: An Advisory From the Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Committee With Endorsement by the Society for the Advancement of Patient Blood Management
Warner M, Ferreira R, Raphael J, Shore-Lesserson L, Grant M, Sykes Hill S, Morewood G, Popescu W, Schwann N, Guinn N. Return on Investment of Preoperative Anemia Management Programs in Cardiac Surgery: An Advisory From the Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Committee With Endorsement by the Society for the Advancement of Patient Blood Management. Anesthesia & Analgesia 2024 DOI: 10.1213/ane.0000000000006721.Peer-Reviewed Original ResearchAdvancement of Patient Blood ManagementPatient blood managementCardiac surgeryBlood managementElective cardiac surgeryTreatment of anemiaSociety of Cardiovascular Anesthesiologists (SCAPreoperative anemiaNoncardiac surgerySurgeryAnemiaLeadership buy-inFinancial modelManagement programsFinancial shortfallsFinancial implicationsCardiacBuy-inClinicDiagnosisImpact of Nighttime Cardiovascular Intensive Care Unit Staffing on Failure to Rescue and Revenue
Kang J, Holmes S, Rando H, Chinedozi I, Darby Z, Briscoe J, Grant M, Whitman G. Impact of Nighttime Cardiovascular Intensive Care Unit Staffing on Failure to Rescue and Revenue. The Annals Of Thoracic Surgery 2024 PMID: 39481824, DOI: 10.1016/j.athoracsur.2024.10.014.Peer-Reviewed Original ResearchEra 1Era 2Cardiac surgeryRelative value unitsFTR ratesPost-cardiotomy patientsMajor complicationsComplication ratePostoperative complicationsAnnual relative value unitsMultivariate analysisNighttime intensivist staffingComplicationsIntensive care unit staffingPatientsIntensivist staffingICU censusSurgeryICUMortalityValue unitsFiscal yearRiskUnit staffingFTRPractice Advisory for Postoperative Pain Management of Cardiac Surgical Patients - A Report by Society of Cardiovascular Anesthesiologists
Makkad B, Heinke T, Sheriffdeen R, Meng M, Kachulis B, Grant M, Popescu W, Brodt J, Khatib D, Wu C, Kertai M, Bollen B. Practice Advisory for Postoperative Pain Management of Cardiac Surgical Patients - A Report by Society of Cardiovascular Anesthesiologists. Journal Of Cardiothoracic And Vascular Anesthesia 2024 DOI: 10.1053/j.jvca.2024.10.014.Peer-Reviewed Original ResearchCardiac surgeryPostoperative pain managementPain managementManagement of cardiac surgical patientsOpioid-related adverse effectsRisk of postoperative cardiopulmonary complicationsFast-track extubationAssociated with serious adverse effectsCardiac surgical patientsPostoperative pain controlPostoperative cardiopulmonary complicationsFascial plane blocksSerious adverse effectsPractice advisoryAdverse effectsPromote early recoverySociety of Cardiovascular AnesthesiologistsNon-pharmacological therapiesPlane blockSevere painCardiopulmonary complicationsMultimodal analgesiaNeurological sequelaePain controlRegional analgesiaPractice Advisory for Postoperative Pain Management of Cardiac Surgical Patients: Executive Summary: A Report by Society of Cardiovascular Anesthesiologists
Makkad B, Heinke T, Sheriffdeen R, Meng M, Kachulis B, Grant M, Popescu W, Brodt J, Khatib D, Wu C, Kertai M, Bollen B. Practice Advisory for Postoperative Pain Management of Cardiac Surgical Patients: Executive Summary: A Report by Society of Cardiovascular Anesthesiologists. Journal Of Cardiothoracic And Vascular Anesthesia 2024 DOI: 10.1053/j.jvca.2024.10.015.Peer-Reviewed Original ResearchCardiac surgical patientsTreat postoperative painCardiac surgeryPostoperative painMultimodal analgesiaSurgical patientsAssociated with significant postoperative painManagement of cardiac surgical patientsImproving postoperative pain reliefOpioid-associated side effectsEra of enhanced recoveryHigh dose opioidsSignificant postoperative painPain-related outcomesPostoperative pain reliefFascial plane blocksCo-existing morbiditiesPostoperative pain managementPractice advisorySociety of Cardiovascular AnesthesiologistsEvidence-based recommendationsDose opioidsOptimal analgesiaPlane blockPain reliefERAS® Cardiac Turnkey Order Set for Perioperative Pain Management in Cardiac Surgery: Proceedings from the AATS ERAS Conclave 2023
Gregory A, Arora R, Chatterjee S, Crisafi C, Morton-Bailey V, Rea A, Salenger R, Engelman D, Grant M, Group E, Cangut B, Crotwell S, Lobdell K, McConnell G, Reddy S. ERAS® Cardiac Turnkey Order Set for Perioperative Pain Management in Cardiac Surgery: Proceedings from the AATS ERAS Conclave 2023. JTCVS Open 2024 DOI: 10.1016/j.xjon.2024.08.018.Peer-Reviewed Original ResearchPerioperative pain managementCardiac surgeryPain managementOpioid administrationOptimal perioperative pain managementOpioid-related adverse eventsClass IShort-acting synthetic opioidLong-acting opioidsCardiac surgical patientsControl post-operativelyNon-steroidal anti-inflammatory drugsAssociated with delayed recoveryLong-term adverse effectsOpioid-based analgesiaEvidence-based order setsOpioid-sparing medicationsAnti-inflammatory drugsComprehensive multimodal approachExpert consensus documentRate of postoperative recoveryOpioid reductionInadequate analgesiaIntravenous analgesicsPost-operativelyCardiac 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 scaleMaximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS)
Salenger R, Ad N, Grant M, Bakaeen F, Balkhy H, Mick S, Nia P, Kempfert J, Bonaros N, Bapat V, von Ballmoos M, Gerdisch M, Johnston D, Engelman D. Maximizing Minimally Invasive Cardiac Surgery With Enhanced Recovery (ERAS). Innovations Technology And Techniques In Cardiothoracic And Vascular Surgery 2024, 19: 371-379. PMID: 39205530, DOI: 10.1177/15569845241264565.Peer-Reviewed Original ResearchMinimally invasive cardiac surgeryInvasive cardiac surgeryCardiac surgeryPerioperative carePreservation of cardiac functionManagement of hemodynamicsGroup of cardiac surgeonsEnhanced recoveryComprehensive perioperative careCardiac surgeonsCardiac functionSurgical incisionERAS programSurgical goalsMyocardial managementSurgeryTissue invasionIncisionPatientsPreoperative Medication Management Turnkey Order Set for Nonemergent Adult Cardiac Surgery
Rea A, Salenger R, Grant M, Yeh J, Damas B, Crisalfi C, Arora R, Gregory A, Morton-Bailey V, Engelman D, Group E, Cangut B, Chatterjee S, Lobdell K, McConnell G, Crotwell S, Reddy S. Preoperative Medication Management Turnkey Order Set for Nonemergent Adult Cardiac Surgery. JTCVS Open 2024 DOI: 10.1016/j.xjon.2024.06.009.Peer-Reviewed Original ResearchSodium-glucose co-transporter-2Adult cardiac surgeryPreoperative medical managementGlucagon-like peptide-1Cardiac surgeryConsensus manuscriptNon-emergent cardiac surgeryMedical managementClass ICardiac surgical patientsCardiac surgical proceduresRisk of bleedingExpert consensus documentPreoperative managementPreoperative medicationsAnticoagulant medicationSurgical patientsSurgical proceduresSurgeryAnti-plateletPeptide-1Perioperative careConsensus documentCardiac SocietyManagement of patients' medicationEnhanced Recovery After Surgery Cardiac Society turnkey order set for surgical-site infection prevention: Proceedings from the American Association for Thoracic Surgery ERAS Conclave 2023
Crisafi C, Grant M, Rea A, Morton-Bailey V, Gregory A, Arora R, Chatterjee S, Lother S, Cangut B, Engelman D, Group E, Salenger R, Lobdell K, McConnell G, Crotwell S, Reddy S, Lazar H. Enhanced Recovery After Surgery Cardiac Society turnkey order set for surgical-site infection prevention: Proceedings from the American Association for Thoracic Surgery ERAS Conclave 2023. Journal Of Thoracic And Cardiovascular Surgery 2024, 168: 1500-1509. PMID: 38574802, DOI: 10.1016/j.jtcvs.2024.03.027.Peer-Reviewed Original ResearchSurgical site infectionCardiac surgeryManagement of surgical site infectionsHigher risk of surgical site infectionImplementation of evidence-based best practicesCardiac surgery increases morbidityRisk of surgical site infectionClass IConsume healthcare resourcesCardiac surgical populationSurgical site infection reductionEvidence-based best practicesProphylactic intravenous antibioticsManaging surgical site infectionsMultidisciplinary care pathwaySurgical site infection preventionPatients' quality of lifeExpert consensus documentQuality of lifeNasal carriageIntravenous antibioticsBlood glucose levelsPatient engagementSSI riskPreoperative identificationEnhanced Recovery After Surgery Cardiac Society turnkey order set for prevention and management of postoperative atrial fibrillation after cardiac surgery: Proceedings from the American Association for Thoracic Surgery ERAS Conclave 2023
Chatterjee S, Cangut B, Rea A, Salenger R, Arora R, Grant M, Morton-Bailey V, Hirji S, Engelman D, Group E, Gregory A, Lobdell K, Hui D, Puskas J, Gaudino M, Crisafi C, Reddy V. Enhanced Recovery After Surgery Cardiac Society turnkey order set for prevention and management of postoperative atrial fibrillation after cardiac surgery: Proceedings from the American Association for Thoracic Surgery ERAS Conclave 2023. JTCVS Open 2024, 18: 118-122. PMID: 38690434, PMCID: PMC11056439, DOI: 10.1016/j.xjon.2024.02.008.Peer-Reviewed Original ResearchPostoperative atrial fibrillationManagement of postoperative atrial fibrillationCardiac surgeryAtrial fibrillationDevelopment of postoperative atrial fibrillationOccurrence of postoperative atrial fibrillationAssociated with increased adverse eventsAdministration of beta-blockersClass IChronic atrial fibrillationPatient-specific risk profilesInitiate appropriate treatmentIndividual risk stratificationExpert consensus documentMultidisciplinary care pathwayElectrolyte normalizationPosterior pericardiotomyRhythm controlAdoption of evidence-based practicesBeta-blockersSurgical interventionRisk stratificationAdverse eventsAnticoagulation managementConsensus manuscriptPerioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and The Society of Thoracic Surgeons (STS)
Grant M, Crisafi C, Alvarez A, Arora R, Brindle M, Chatterjee S, Ender J, Fletcher N, Gregory A, Gunaydin S, Jahangiri M, Ljungqvist O, Lobdell K, Morton V, Reddy V, Salenger R, Sander M, Zarbock A, Engelman D. Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and The Society of Thoracic Surgeons (STS). The Annals Of Thoracic Surgery 2024, 117: 669-689. PMID: 38284956, DOI: 10.1016/j.athoracsur.2023.12.006.Peer-Reviewed Original ResearchSociety of Thoracic SurgeonsCardiac surgeryImproved postoperative clinical outcomesConsensus statementPostoperative clinical outcomesEnhanced recoveryMultidisciplinary expert panelJoint consensus statementSurgical insultThoracic surgeonsAdult patientsClinical outcomesPerioperative interventionsSurgeryERAS principlesPerioperative careRelevant interventionsCardiac SocietyClinical practiceSpecialty operationsExpert panelPromote recoveryCardiacInternational SocietyProgram elements
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 ResearchConceptsPulmonary 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 usePractice 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 ResearchConceptsIntraoperative 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 proceduresUltrafiltration in cardiac surgery: Results of a systematic review and meta-analysis
Hensley N, Colao J, Zorrilla-Vaca A, Nanavati J, Lawton J, Raphael J, Mazzeffi M, Wierschke C, Kostibas M, Cho B, Frank S, Grant M. Ultrafiltration in cardiac surgery: Results of a systematic review and meta-analysis. Perfusion 2023, 39: 743-751. PMID: 36795704, DOI: 10.1177/02676591231157970.Peer-Reviewed Original ResearchIntraoperative red cell transfusionsRed cell transfusionAcute kidney injuryCell transfusionObservational studySystematic reviewConventional ultrafiltrationIntraoperative blood transfusionEffect of hemodilutionMeta-Analyses (PRISMA) statementPreferred Reporting ItemsRed cell unitsWeb of ScienceKidney injuryBlood transfusionCardiac surgeryModified ultrafiltrationPrimary outcomeCardiopulmonary bypassCochrane LibraryTransfusionElectrolyte balanceReporting ItemsCell unitsReviewPain 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 ResearchConceptsCardiac 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 ResearchConceptsChest 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 ResearchConceptsCardiac surgeryRegional analgesiaRegional techniquesCardiac surgical settingChest wall blocksOpioid-sparing analgesiaOpioid-sparing approachPain management expertsPerioperative patient careOpioid requirementsOpioid administrationPain controlPain managementPerioperative carePatients' qualityRegional anesthesiaAnalgesiaSurgical settingSurgeryPatient careCareAnesthesiaAdministrationComparing Three Wearable Accelerometers to Measure Early Activity after Cardiac Surgery
Brown C, Yanek L, Healy R, Tsay T, Di J, Goeddel L, Young D, Zipunnikov V, Schrack J, Group C, Whitman G, Mandal K, Madeira T, Grant M, Hoyer E. Comparing Three Wearable Accelerometers to Measure Early Activity after Cardiac Surgery. JTCVS Open 2022, 11: 176-191. PMID: 36172447, PMCID: PMC9510817, DOI: 10.1016/j.xjon.2022.05.011.Peer-Reviewed Original ResearchHospital-based outcomesCardiac surgeryWearable activity monitorsPrimary outcomeNonhome locationActivity monitorCardiac surgery patientsDuration of hospitalizationSteps/dayAccelerometry monitorsClinical characteristicsCohort studySurgery patientsPostoperative activityProlonged hospitalizationWearable accelerometersPatient riskMobility ScaleSpectrum of characteristicsPatientsSurgeryAdditive valueOutcomesHospitalizationReadmission