The committee included rep- resentatives from the ACCF, AHA, American Association for Thoracic Surgery, Society of Cardiovascular Anesthesiolo- gists, and Society of Thoracic Surgeons (STS). 1.3. Document Review and Approval This document was reviewed by 2 official reviewers, each nominated by both the ACCF and the AHA, as well as 1 reviewer each from the American Association for Thoracic Surgery, Society of Cardiovascular Anesthesiologists, and STS, as well as members from the ACCF/AHA Task Force on Data Standards, ACCF/AHA Task Force on Performance Measures, ACCF Surgeons Scientific Council, ACCF Inter- ventional Scientific Council, and Southern Thoracic Surgical Association. All information on reviewers RWI was distrib- uted to the writing committee and is published in this document (Appendix 2). This document was approved for publication by the gov- erning bodies of the ACCF and the AHA and endorsed by the American Association for Thoracic Surgery, Society of Car- diovascular Anesthesiologists, and STS. 2. Procedural Considerations 2.1. Intraoperative Considerations 2.1.1. Anesthetic Considerations: Recommendations Class I 1. Anesthetic management directed toward early postop- erative extubation and accelerated recovery of low- to medium-risk patients undergoing uncomplicated CABG is recommended.4 6 (Level of Evidence: B) 2. Multidisciplinary efforts are indicated to ensure an optimal level of analgesia and patient comfort throughout the perioperative period.7 11 (Level of Evidence: B) 3. Efforts are recommended to improve interdisciplin- ary communication and patient safety in the periop- erative environment (eg, formalized checklist-guided multidisciplinary communication).12 15 (Level of Ev- idence: B) 4. A fellowship-trained cardiac anesthesiologist (or ex- perienced board-certified practitioner) credentialed in the use of perioperative transesophageal echocar- diography (TEE) is recommended to provide or supervise anesthetic care of patients who are consid- ered to be at high risk.16 18 (Level of Evidence: C) Class IIa 1. 