Document Type
Article
Publication Date
10-1-2020
Abstract
Enhanced recovery after surgery (ERAS) protocols recognize early postoperative mobilization as a driver of faster postoperative recovery, return to normal activities, and improved long-term patient outcomes. For patients undergoing open cardiac surgery, an opportunity for facilitating earlier mobilization and a return to normal activity lies in the use of improved techniques to stabilize the sternal osteotomy. By following the key orthopedic principles of approximation, compression, and rigid fixation, a more nuanced approach to sternal precaution protocols is possible, which may enable earlier patient mobilization, physical rehabilitation, and recovery.
Recommended Citation
Gerdisch, Marc W; Allen, Keith B; Naka, Yoshifumi; Bonnell, Mark R; Landolfo, Kevin P; Grehan, John; Grubb, Kendra J; Cohen, David J; Guy, T. Sloane; Patel, Nirav C; and Thourani, Vinod H, "Orthopedic Principles to Facilitate Enhanced Recovery After Cardiac Surgery" (2020). Department of Surgery Faculty Papers. Paper 191.
https://jdc.jefferson.edu/surgeryfp/191
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
PubMed ID
32892817
Language
English
Comments
This article is the author’s final published version in Critical Care Clinics, Volume 36, Issue 4, October 2020, Pages 617-630.
The published version is available at https://doi.org/10.1016/j.ccc.2020.07.003. Copyright © Gerdisch et al.