Arq. Bras. Cardiol. 2022; 118(1): 110-114
Preparing Patients And Optimizing Processes In The Perioperative Period Of Cardiac Surgery: How To Redesign The Flow Of Care After COVID-19
Omar Asdrúbal Vilca Mejia
, Bruno Mahler Mioto
, Gabrielle Barbosa Borgomoni
, Juliana Mendanha Camilo
, Danielle Misumi Watanabe, Sirlei Pereira Nunes, Vanessa Santos Sallai, Maraina Pegorini Libório de Lima, Jurema da Silva Herbas Palomo, Helenice Moreira da Costa, Elisandra Trevisan Arita, Maria Ignêz Zanetti Feltrim, Vera Coimbra, Roger Daglius Dias, Filomena Regina Barbosa Gomes Galas, José Otávio Costa Auler Junior, Fabio Biscegli Jatene
Introduction
The lack of proactive care strategies influences the fragmentation of care, deparametrization of processes and extension of hospital times, while evidence has shown that multidisciplinary protocols based on evidence executed by synchronized teams, with standardized processes, proactivity and patient-centered care decrease complications, hospital times and hospital costs., In this context, care based on the Enhanced Recovery After Surgery (ERAS) concept revolutionizes traditional flows. Guidelines for cardiac surgery were recently published, producing encouraging results.,
This approach showed efficiency and safety in hospital discharge within three days after cardiac surgery,, which is promising in the COVID-19 era, in which surgical queues have grown due to procedural delays, enabling a greater number of visits in less time, reducing the risk of contamination and hospital costs.
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