展望未来和回顾过去:ERAS协议在整形外科手术中的不断增长的作用
Marissa Weber1, Melissa Chao2, Simrat Kaur3
1Department of Anesthesiology, Weill Cornell Medicine, 525 East 68th Street, Box 124, New York, NY 10065, USA.
Anesthesiology clinics
|May 5, 2024
概括
现在推用于骨科护理的手术后增强恢复 (ERAS) 协议. 这些指导方针侧重于术前优化,术后多式疗法和术后康复,以改善患者的治疗结果并降低成本.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 患者恢复协议 患者恢复协议
背景情况:
- 在一般外科手术中建立了增强手术后恢复 (ERAS) 协议,证明了改善患者的治疗结果和降低成本.
- 为了优化患者护理,ERAS指南正在适应和开发用于骨科手术.
- 通过实施基于证据的恢复途径,可以增强当前的骨科实践.
研究的目的:
- 概述了在骨科手术中实施手术后增强恢复 (ERAS) 协议的关键建议.
- 突出ERAS在改善患者结果,满意度和降低骨科手术中医疗保健成本方面的好处.
- 提供一个框架,在整形外科的整个手术过程中优化患者护理.
主要方法:
- 术前医疗优化包括戒烟,患者教育和焦虑管理.
- 使用多式和区域麻醉的内科手术策略,如神经轴麻醉和外围神经阻塞.
- 术后护理强调早期营养,适当的血栓预防和早期患者动员.
主要成果:
- 多种模式和区域疗法有助于骨科患者在同一天出院.
- 早期术后营养和动员是成功康复的关键组成部分.
- 实施ERAS协议可以改善患者的治疗结果和满意度.
结论:
- 埃拉斯协议为优化骨科患者护理提供了一条有价值的途径.
- 采用这些基于证据的指导方针对于提高回收和降低成本至关重要.
- 继续研究和实施ERAS将进一步完善骨科外科的途径.
相关概念视频
01:26Endoscopic Procedures V: ERCP
196
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...
196
01:19Clinical Applications of Epidermal Stem Cells
2.7K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.7K