Preoperative Interventions Improve Patient Outcomes after Cardiac Bypass Surgery

Implementing interventions to optimize patients’ readiness for surgery was associated with reduced risk of mortality and morbidity, shorter intubation times, and shorter hospital stays for urgent patients after coronary artery bypass graft surgery. As part of the Critical Care Nurse study, investigators implemented a readiness bundle of preoperative interventions for urgent patients undergoing surgery that included preoperative use of aspirin, beta-blockers, statin-type lipid-lowering agents, preoperative hematocrit >30%, glucose level <150 mg/dL on the day of surgery, a minimum surgery delay of 3 days after an acute myocardial infarction, and induction heart rate <80 beats per minute.

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Implementing interventions to optimize patients’ readiness for surgery was associated with reduced risk of mortality and morbidity, shorter intubation times, and shorter hospital stays for urgent patients after coronary artery bypass graft surgery. As part of the Critical Care Nurse study, investigators implemented a readiness bundle of preoperative interventions for urgent patients undergoing surgery that included preoperative use of aspirin, beta-blockers, statin-type lipid-lowering agents, preoperative hematocrit >30%, glucose level <150 mg/dL on the day of surgery, a minimum surgery delay of 3 days after an acute myocardial infarction, and induction heart rate <80 beats per minute.