在紧急一般外科手术中加强术后护理:WSES立场论文
Marco Ceresoli1,2, Marco Braga3,4, Nicola Zanini5
1School of Medicine and Surgery, Milano-Bicocca University, Monza, Italy. marco.ceresoli@unimib.it.
World journal of emergency surgery : WJES
|October 6, 2023
概括
增强的外科手术期间护理改善了选择性手术的结果. 这篇论文回顾了其在紧急一般外科手术中的应用证据,提供了关于手术前,手术内和手术后干预的陈述.
科学领域:
- 手术医学 手术医学
- 临界护理医学 临界护理医学
- 基于证据的医学基于证据的医学.
背景情况:
- 增强的外科手术周护理 (EPC) 是选择性手术的标准,改善了患者的治疗结果.
- EPC采用多式联络,跨学科的方法来最大限度地减少外科手术的压力和增强恢复.
- 在紧急一般外科手术 (EGS) 中EPC的证据和共识有限.
研究的目的:
- 对紧急外科手术中术后护理干预措施的现有证据进行审查.
- 为EGS患者提供关于EPC的专家共识陈述.
- 专注于术前,术后和术后的护理阶段.
主要方法:
- 对当前关于紧急外科手术中术后护理的文献进行系统审查.
- 世界急诊外科协会 (WSES) 协作小组的共识陈述的制定和批准.
- 分析所有手术阶段的干预措施:手术前,手术期间和手术后.
主要成果:
- 已确立的证据支持在选择性环境中进行特定的外科手术期间干预.
- 关于在EGS中应用EPC的证据存在重大缺陷.
- 对于EGS中关键的外科手术期间干预措施,制定了共识声明.
结论:
- 在紧急一般外科手术中,EPC协议有望改善结果.
- 需要进一步的研究,以确定EGS中EPC的强有力的证据.
- 华盛顿社会科学会协作小组为在EGS中实施EPC提供专家指导.
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