对于门诊外科手术的增强恢复协议
Daniel S Cukierman1, Juan P Cata1, Tong Joo Gan2
1Department of Anesthesiology and Perioperative Medicine, The University of Texas - MD Anderson Cancer Center, Houston, TX, USA; Anesthesiology and Surgical Oncology Research Group, Houston, TX, USA.
Best practice & research. Clinical anaesthesiology
|November 8, 2023
概括
手术后增强恢复 (ERAS) 协议对于改善门诊手术结果至关重要. 实施ERAS优化了患者护理,降低了成本,并提高了同日和延长恢复手术设置的满意度.
科学领域:
- 麻醉学 麻醉学
- 手术护理 手术护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 门诊手术占美国手术的绝大多数,每年进行数百万次手术.
- 复杂的手术越来越多地在门诊环境中进行,这推动了对高效护理模式的需求.
- 门诊外科手术市场规模庞大,预计将继续增长,为医疗保健系统提供显著的成本节约潜力.
研究的目的:
- 审查当前关于外科手术后增强恢复 (ERAS) 协议的证据.
- 突出在门诊外科环境中实施ERAS的关键要素和临床意义.
- 强调ERAS在改善患者治疗结果和降低医疗保健成本方面的作用.
主要方法:
- 本综述综合了现有的研究和文献关于在门诊手术中的ERAS协议.
- 它检查了ERAS的核心组成部分,包括手术前优化,疼痛管理,预防,液体平衡和早期动员.
- 审查强调了成功实施ERAS所需的跨学科方法.
主要成果:
- ERAS协议与停留时间缩短,成本降低和患者满意度提高有关.
- 诸如多式止痛和早期移动性等关键组成部分对于成功康复至关重要.
- 在ERAS框架内,麻醉师在治疗术后恶心和疼痛方面发挥着至关重要的作用.
结论:
- 埃拉斯 (ERAS) 协议代表了一种重要的,基于证据的方法,以提高门诊外科手术的质量和效率.
- 成功实施需要一个多学科的团队和强大的安全文化.
- 预计ERAS的采用将增加,转变门诊外科中心的临床实践.
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