创伤和紧急腹部手术中的增强恢复协议:范围审查
Hayaki Uchino1,2, Philip Nguyen-Powanda3, Junko Tokuno4
1Division of Experimental Surgery, McGill University, Montreal, QC, Canada. hayaki.uchino@mail.mcgill.ca.
概括
增强恢复协议 (ERP) 在紧急腹部手术 (EAS) 中表现有希望,但创伤腹腔切除术的研究有限. 在EAS和创伤中ERP的标准化可以提高患者护理质量.
科学领域:
- 手术重症监护手术重症监护
- 基于证据的医学基于证据的医学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 增强恢复协议 (ERP) 是选择性外科手术的标准,改善了患者的治疗结果.
- 关于创伤和紧急腹部手术 (EAS) 的ERP存在有限而异质的文献.
研究的目的:
- 进行范围审查,评估创伤腹腔切除术和EAS中ERP的文献.
- 确定ERP实施在这些外科环境中的趋势,组件和结果.
主要方法:
- 在三个文献数据库中搜索相关研究.
- 提取的研究特征:设计,国家,年份,程序,ERP组件和结果.
- 遵循了PRISMA扩展范围审查指南.
主要成果:
- 从1631篇选文章中,包括了39项研究,从2020年至2022年出版物激增.
- 确定了14种不同的ERP协议,在手术前,手术内和手术后阶段各有不同.
- 大多数研究 (79%) 专注于临床结果,但只有5% 专门研究创伤人群.
结论:
- 在EAS中ERP的实施是全球记录的,报告了结果的改进.
- 在专门针对创伤性腹腔切除术中ERP的研究中存在重大差距.
- 标准化ERP有可能提高EAS和创伤腹腔切除术的护理质量.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
Appendicitis-II: Diagnostic Studies and Management
99
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
99
Endoscopic Procedures V: ERCP
399
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
399
Inflammatory Bowel Disease V: Surgical Management
171
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
171


