To assist clinicians in bringing existing guidelines and best practice recommendations to the bedside, ERAS Cardiac has created a series of "Turnkey Order Sets". These order sets have been created following review of the existing evidence, and provide a guide for implementation of these ERAS elements.
Turnkey Order Set (TKO) Methodology
To assist with implementation of cardiac enhanced recovery after surgery (ERAS), we have created a sample turn key order set (TKO). The order set has been translated by subject matter experts using accumulated evidence, peer-reviewed literature, and current enhanced recovery practices.
Orders derived from Class I or IIA recommendations across all referenced guidelines and consensus manuscripts appear in the TKO in bold type.
Selected orders that were inconsistently Class I or IIA, Class IIB, or supported by evidence published in peer-reviewed journals, were also included in italicized type.
Decisions regarding order inclusion were made based on estimated benefit, risk, cost, implementation complexity, and generalizability. Each of these orders should be considered based on local institutional priorities, resources, practices, and expertise.
The Turnkey Order Set PDF in this module is intended for use by ERAS Cardiac Society Members to assist in building order sets at their own institution. They are permitted to be downloaded.
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ERAS Cardiac VTC Disclaimer:
The VTC, and all included content, is intended to inform ERAS Cardiac Members in a multitude of topics related to enhanced recovery. The information included has been provided by other enhanced recovery experts and should be used for educational purposes only. It is not intended to describe, recommend, or suggest any specific medical practice or intervention, nor should it be considered as formal medical advice or consultation. The ERAS Cardiac Society cannot guarantee that the information on the VTC is accurate or complete in every respect. Therefore, ERAS Cardiac Society is not responsible for any errors or omissions in the content, or medical results that occur with the application of the information obtained while using the VTC. All healthcare professionals should continue to use sound clinical judgment and prescribe therapies based on the best medical knowledge at their disposal.
All the material presented on the VTC is the intellectual property of the ERAS Cardiac Society, its contributors, and its sponsors. Unless explicitly stated, the information, images, audio, video, and other content may not be reproduced (in whole or in part) in any way without the written permission of the ERAS Cardiac Society.
If you have any questions or comments about the ERAS Cardiac VTC, please email: VTC@erascardiac.org
1. Brown JR, Baker RA, Shore-Lesserson L, et al. The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery–Associated Acute Kidney Injury. Ann Thorac Surg. 2023;115:34-42.
2. Nadim MK, Forni LG, Bihorac A, et al. Cardiac and vascular surgery- associated acute kidney injury: the 20th International Consensus Conference of the ADQI (Acute Disease Quality Initiative) Group. J Am Heart Assoc. 2018;7:e008834.
3. Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society recommendations. JAMA Surg. 2019;154:755-766.
4. Brown J, Shaw AD, Mythen MG, et al. Adult Cardiac Surgery Associated Acute Kidney Injury: Joint Consensus Report of the PeriOperative Quality Initiative (POQI) and the Enhanced Recovery After Surgery (ERAS®) Cardiac Society. Submitted to J Cardiothorac Vasc Anesth.