Cardiac Surgery
Our expertise across the surgical spectrum, combined with a collaborative approach and the latest remote and mobile technologies, enables Sanger to constantly improve surgical outcomes.
Recent Highlights
Tailoring intervention to each patient: Our specialized high-risk heart surgery team – which includes a cardiologist, interventional cardiologists, intensivists and cardiac surgeons – continues developing ways to improve outcomes, by following a patient-centered collaborative approach that helps identify which therapeutic interventions are optimal for each patient.
High-risk discharge pathway: We implemented a high-risk discharge pathway in 2022 that includes multidisciplinary coordination and planning, individualized discharge plans and frequent follow-up visits. This pathway has helped reduce readmissions.
Mobile-integrated health: We have embraced mobile-integrated health (MIH) for cardiac surgery patients with dual diagnosis of heart failure. These patients receive a home visit from a paramedicine team, which helps patients who have limited resources.
Innovations
Remote monitoring improves ongoing care: Our remote patient monitoring effort uses biosensors to provide clinicians with data – including heart rate, blood pressure, body weight and steps – that aids decision-making between follow-up visits. We use remote monitoring to continue providing patientcentered care up to 90 days post discharge.
ERAS® fuels improvements: Since launching a cardiac ERAS (Enhanced Recovery After Surgery) in 2022, we have decreased postoperative length of stay and increased mobilization postsurgery. Our post-procedure length of stay is below the STS benchmark.
Awards
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- 3 Star Overall Rating CABG (All Sites)
- 3 Star AVR (Carolinas Medical Center)
- 3 Star MVRR (Carolinas Medical Center)
Experience Where It Counts
Coronary Artery Bypass Graft (CABG)
Lobdell K, Crotwell S, Frederick J, Watts L, Bradley L, Skipper E, Maxey T, Russell G, Habib R, Rose G. (March 2023). Technologic Transformation of Perioperative Cardiac Care and Outcomes. The Annals of Thoracic Surgery
Lobdell K, Crotwell S. Watts L, Lenoir B, Frederick J, Skipper E, Russell G, Habib R, Maxey T, Rose J. (September 2023) Remote monitoring following adult cardiac surgery: A paradigm shift? The Journal of Thoracic and Cardiovascular Surgery Open
Salenger R, Hirji S, Rea A, Cangut B, Morton-Bailey V, Gregory A, Arora R, Grant M, Raphael J, Engelman D, Crotwell S, Lobdell S. (October 2023) Eras Cardiac Society Turnkey Order Set for Patient Blood Management: Proceedings from the AATS ERAS Conclave 2023. The Journal of Thoracic and Cardiovascular Surgery
Crisafri C, Grant M, Rea A, Morton-Bailey V, Gregory A, Arora R, Chatterjee S, Engelman D, Salenger R, Lobdell K, Crotwell S, McConnell G, (January 2024) ERAS Cardiac Society Turnkey Order Set for Surgical Site Infections Prevention: Proceedings from the AATS ERAS Conclave 2023. The Journal of Thoracic and Cardiovascular Surgery
January 2023: Society of Critical Care Medicine Congress. Attended and podium presentation on Technological Advances in Cardiac Critical and Perioperative Care in San Francisco, CA
April 2023: HIMSS23. Attended and podium panel presentation. Patient Experience Forum: How Global Health Systems are Raising the Bar on Virtual Care. Chicago, IL
October 2023: ACC Quality Summit. Attended and podium presentation on Reducing the Risks: A Quality Improvement Project for the Prevention of Atrial Fibrillation in Cardiac Surgery Patients. Orlando, FL.
November 2023: ERAS Cardiac Retreat. Attended and podium presentation on Perfect Care Quality Initiative. Austin, Tx.
Leadership
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John Frederick, MD
Chief, Cardiovascular Surgery
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Kevin Lobdell, MD
Surgical Critical Care
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Douglas Haden, MD
Critical Care Medicine