Adult patients age ranges from 18 years to 70 years undergoing elective coronary artery bypass grafting (CABG), valvular surgery or combined CABG and valvular surgery with cardiopulmonary bypass at the King Chulalongkorn Memorial hospital. Enhance recovery after cardiac surgery Cardiac surgery Perioperative management Coronary Artery Bypass Grafting Valvular surgery Fast track cardiac surgery
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult patients age ranges from 18 years to 70 years undergoing elective coronary artery bypass grafting (CABG), valvular surgery or combined CABG and valvular surgery with cardiopulmonary bypass at the King Chulalongkorn Memorial hospital. 2.Left ventricular ejection fraction > 40% and > 50% in Mitral regurgitation case. 3.Adult patients who are able to provide informed consent on their own.
Exclusion criteria
Exclusion criteria: 1. Patients with history of cardiac surgery 2. Pregnancy patients 3. Patients with NYHA class IV before surgery 4. End stage renal disease patients 5. Abnormal liver function test 6. Patients with severe endocrine disease 7. Patients with history of stroke 8. Patients with congenital heart abnormality 9. Patients who have overt myocardial infarction and heart failure. 10. Emergency or urgent cases, patients on mechanical cardiac support (Extracorporeal membrane oxygenator and Intra aortic balloon pump)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of stay Discharge time days | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of intubation when extubation hours,Cost when discharge baht,Acute kidney injury after surgery Creatinine level,Myocardial infarction after surgery Clinical chest pain, biomarker,Stroke after surgery Clinical of weakness | — |
Countries
Thailand
Contacts
King chulalongkorn memorial hospital