是时候开始一个新的手术后增强恢复 (ERAS):一个回顾性队列研究
Ricardo Rodrigues1, Jhonny Abreu1, Beatriz Gonçalves1
1Department of Anaesthesiology, Hospital Central do Funchal, Funchal, PRT.
Cureus
|June 14, 2024
概括
对结直肠手术患者实施手术后增强恢复 (ERAS®) 途径显示,手术前优化和术后恢复的显著延迟. 采用ERAS®是必要的,以改善患者的治疗结果,并减少住院时间.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 在外科手术后的护理.
- 外科手术的结果
背景情况:
- 手术后增强恢复 (ERAS®) 是一种多式外科手术期间护理途径.
- ERAS®旨在减少外科手术的压力,并改善患者的康复.
- 这项研究评估了当地的结直肠外科手术中心的术后实践.
研究的目的:
- 在当地的结直肠外科手术中心对外科手术期间的诊断评估.
- 为了评估对手术后增强恢复 (ERAS®) 准则的遵守.
- 确定在结直肠外科手术患者护理方面需要改进的领域.
主要方法:
- 对接受选择性结直肠手术的93名患者的分析 (2022年1月至12月).
- 根据ERAS®指南收集关于入院前,手术前和术后参数的数据.
- 用于数据分析的描述性统计学,Chi-square和T-test.
主要成果:
- 缺乏手术前优化,特别是在营养咨询,戒烟/戒酒,贫血治疗和麻醉前药物治疗方面.
- 侵袭性设备 (尿导管,手术排水) 的延迟移除和延迟口服摄入.
- 这些延误导致了长时间的住院 (平均13天),以及术后并发症的增加.
结论:
- 目前的外科外科手术实践需要多学科的审查.
- 建议对结直肠病患者实施ERAS®计划.
- 采用ERAS®可能会对术后恢复产生积极影响,并减少住院时间.
相关概念视频
Endoscopic Procedures V: ERCP
176
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...
176
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
72
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...
72
Appendicitis-II: Diagnostic Studies and Management
74
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...
74
Endoscopic Procedures I: Esophagogastroduodenoscopy
101
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
101


