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Date Published: 18/11/2024
Abstract Views: 111
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DOI: https://doi.org/10.51298/vmj.v544i1.11718
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Vol. 544 No. 1 (2024)
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Bùi, T. T., Phan, Q. T., & Nguyễn, H. Định. (2024). ENHANCED RECOVERY AFTER SURGERY PATHWAY FOR PATIENTS UNDERGOING MINIMALLY INVASIVE MITRAL VALVE SURGERY VIA RIGHT MINITHORACOTOMY: EARLY CLINICAL OUTCOMES. Vietnam Medical Journal, 544(1). https://doi.org/10.51298/vmj.v544i1.11718

ENHANCED RECOVERY AFTER SURGERY PATHWAY FOR PATIENTS UNDERGOING MINIMALLY INVASIVE MITRAL VALVE SURGERY VIA RIGHT MINITHORACOTOMY: EARLY CLINICAL OUTCOMES

Thiện Trí Bùi, Quang Thuận Phan, Hoàng Định Nguyễn

Main Article Content

Abstract

Objectives: The aim of this study was to evaluate the clinical effectiveness and safety profile of ERAS pathways compared with routine care for patients undergoing minimally invasive mitral valve surgery via right minithoracotomy. Objects and Methods: A  longitudinal descriptive study was conducted between January 2023 and June 2024. A total of 45 patients who underwent minimally invasive valvular surgery at University Medical Center- Ho Chi Minh City University of Medicine and Pharmacy were divided into ERAS pathway or routine care (control) group. Results: Among the 45 patients studied, the male-to-female ratio was 0,67:1, with a mean age of 51,6 ± 10,7 years old. Postoperative mechanical ventilation time was significantly shorter in the ERAS group (8,4 ± 10,7 hours) than the control group (16,9 ± 22,2 hours, P = 0.0145). The duration of ICU stay and hospital stay were significantly shorter in the ERAS group (63,6 ± 32,4 hours, 13,8 ± 4,1 days, respectively) than the control group (85,7 ± 39,2 hours, P = 0.0489; 16,8 ± 4,5 days, respectively; P = 0,0257). Conclusion: ERAS pathways are safe and feasible. This procedure help to reduce the length of mechanical ventilation time after surgery as well as ICU and hospital stay for patients undergoing minimally invasive mitral valve surgery via right minithoracotomy.

Article Details

Keywords

Enhanced Recovery After Surgery ERAS, minimally invasive mitral valve surgery.

References

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