ERAS Cardiac

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ERAS Cardiac Dedicated to perfecting the surgical journey through the enhancement of patient well-being & recovery ERAS® stands for Enhanced Recovery after Surgery.

We're dedicated to perfecting the surgical journey through research, education, audit, and implementation of evidence-based practices. Our team is passionate about advancing patient well-being to help achieve the best possible outcomes. Join us as we share valuable insights, expert opinions, and the latest advancements in cardiac surgery and perioperative care. Stay connected to stay informed and empowered on your own surgical journey!

Day 1 of the 2026 STS Perioperative & Critical Care Conference is underway in Baltimore.This two-day program from the So...
10/09/2026

Day 1 of the 2026 STS Perioperative & Critical Care Conference is underway in Baltimore.

This two-day program from the Society of Thoracic Surgeons (Society of Thoracic Surgeons) brings together the full cardiothoracic care team to explore the latest in cardiovascular and thoracic critical care and enhanced recovery after surgery.

Executive Board Member Subhasis Chatterjee, MD, kicked off this morning's program, joined by ERAS Cardiac leaders Michael Grant, MD, Alex Gregory, MD, Cheryl Crisafi, MSN, RN, and Amanda Rea, DNP, CRNP.

Enhanced recovery is a core focus of this year's conference, and we're proud to have ERAS Cardiac leadership at the table.

Do less restrictive sternal precautions mean more pain after cardiac surgery? In the T-REX Twente randomized trial, they...
10/03/2026

Do less restrictive sternal precautions mean more pain after cardiac surgery? In the T-REX Twente randomized trial, they did not.

Frank Halfwerk, PhD, shared the first full trial results at last month's ERAS Cardiac Monthly Multidisciplinary Meeting.

Patients who could push, pull, and lift with their elbows at their sides reported no more pain or fear of movement than patients under usual care.

Watch the recording: Link in bio

Up to half of surgical-site infections after cardiac surgery are considered preventable. What prevents them is not one i...
09/29/2026

Up to half of surgical-site infections after cardiac surgery are considered preventable. What prevents them is not one intervention, it is a sequence that begins weeks before the incision.

The ERAS Cardiac Surgical-Site Infection Prevention Turnkey Order Set translates existing guideline and consensus recommendations into a sample order set spanning nasal screening through postoperative surveillance.

Developed from AATS, EACTS, ACS/SIS, and CDC recommendations.

The ERAS Cardiac Virtual Education Center has free resources for patients and families on what to expect before, during, and after surgery. Create a free account to explore: https://tr.ee/32YVTLHjQ3

This Advanced Practice Provider Week we recognize the nurse practitioners, physician associates, certified registered nu...
09/25/2026

This Advanced Practice Provider Week we recognize the nurse practitioners, physician associates, certified registered nurse anesthetists, and clinical nurse specialists who bring skill, compassion, and leadership to every stage of cardiac recovery.

APPs are vital members of the multidisciplinary team, helping strengthen coordination, quality, and outcomes for patients and care teams. Thank you for the work you do every day to advance safer, faster, more effective cardiac care.💙

Patients on ECMO can be awake, extubated, and walking. Many centers still treat that as the exception rather than the go...
09/24/2026

Patients on ECMO can be awake, extubated, and walking. Many centers still treat that as the exception rather than the goal.

Episode 11 of The Cardiac Recovery Room covers patient selection, cannulation strategy, sedation, early mobilization, and building the team culture that makes ECMO ambulation possible.

Link in bio to listen.

ERAS Cardiac Recommendation: Central Nervous System MonitoringNeurologic complications remain an important concern after...
09/22/2026

ERAS Cardiac Recommendation: Central Nervous System Monitoring

Neurologic complications remain an important concern after cardiac surgery, and central nervous system monitoring is one way teams look for early indications of neurologic risk.

Modalities such as cerebral oximetry and processed electroencephalography (EEG) may provide early warning of neurologic risk or excessive anesthetic depth. Some studies suggest improved neurocognitive outcomes or earlier recognition of cerebral hypoperfusion, but interventions triggered by monitoring are inconsistent across studies. This ERAS Cardiac recommendation is supported by a moderate level of evidence.

Central nervous system monitoring may enhance neurologic surveillance, while additional study is necessary to identify the strategies that best prevent and mitigate injury.

Read the full recommendation here: https://tr.ee/xvSAm2AMCu

Findings from a new single-center study examined whether a machine learning algorithm could guide goal-directed fluid th...
09/22/2026

Findings from a new single-center study examined whether a machine learning algorithm could guide goal-directed fluid therapy in patients recovering from cardiac surgery.

Among 479 isolated coronary artery bypass patients with an ejection fraction of 45% or greater, 233 were managed under the goal-directed fluid therapy program and compared with 246 matched historical controls.

Acute kidney injury incidence by KDIGO criteria was lower in the goal-directed therapy group at postoperative day 2, at postoperative day 7, and at discharge.

The authors describe the program as safe, with less invasive monitoring for selected ICU patients.

These findings contribute to ongoing discussions around how advanced analytics may support, rather than replace, clinical judgment in postoperative care.

Congratulations to Advanced Practice Provider Council Member Amanda Rea, DNP, CRNP, and Executive Board Member Rawn Salenger, MD, on this important contribution.

Read the full study: link in bio

I grew up with enhanced recovery at the dinner table. In the early 1990s, my father, Richard Engelman, pioneered the Fas...
09/10/2026

I grew up with enhanced recovery at the dinner table.

In the early 1990s, my father, Richard Engelman, pioneered the Fast Track approach to recovery after heart surgery, built on a then radical idea: that what happens before and after the operation matters as much as the operation itself.

Years later, as I watched those lessons fade from everyday practice, a group of us founded the ERAS Cardiac Society in 2017 to bring them back with modern evidence.

When we published the first cardiac enhanced recovery guidelines in JAMA Surgery in 2019, my father was one of my coauthors. Of everything I have written, that byline means the most.

What keeps me motivated is the team. Enhanced recovery has never been a surgeon's protocol. It belongs to the whole interdisciplinary family: anesthesiology, critical care, nursing, advanced practice providers, perfusion, pharmacy, physical therapy, nutrition, and above all the patient and their family. Nothing in medicine beats watching that team pull in the same direction so a patient can wake up sooner, hurt less, and get back to their life.

And on the days I need a reminder of why we do this, I keep one close at hand. I have saved every letter a grateful patient has ever written me. I still reread them. Behind every guideline, protocol, and acronym is a person who trusted us with their heart. Those letters, and the team that earns them, are the heart of ERAS for me.

-Daniel Engelman, MD, President, ERAS Cardiac Society

ERAS Cardiac Society advisory board member Omar Mejia, MD, PhD, recently presented at the São Paulo Cardiac Summit at CE...
09/03/2026

ERAS Cardiac Society advisory board member Omar Mejia, MD, PhD, recently presented at the São Paulo Cardiac Summit at CESIN-InCor on how quality improvement research is transforming cardiac surgery.

His talk covered prehabilitation, enhanced recovery after surgery, and minimally invasive cardiac surgery, framed around what has changed in the field since the earliest days of cardiac surgery.

The summit was an academic event promoted for the first time by two of the largest cardiovascular surgery centers in Brazil, with the aim of disseminating the most transformative advances in cardiovascular surgery.

Alongside Professor Fabio Jatene of InCor and Mario Issa of Dante Pazzanese, the program included Professor Torsten Doenst, Hristo Kirov, and Tulio Caldonazo of the University of Jena in Germany, Maurilio O. Deininger of UNIMED, João Pedro Passos Dutra, Sergio Lima de Almeida of SOS Cardio Florianópolis, and Dr.Paulo Cesar Santos of Uberlândia Medical Center.

Quality improvement research is a large part of why cardiac surgery looks so different today. We are grateful to all who carry that work forward around the world.

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