精细调整完全内镜的 mitra 门手术:ERAS 应用程序
Serkan Ertugay1, Sedat Karaca1, Ayşen Yaprak Engin1
1Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Izmir, Türkiye.
Frontiers in cardiovascular medicine
|October 25, 2024
概括
完全内镜 mitra 门手术与手术后增强恢复 (ERAS) 协议相结合,可以减少并发症和输血需求. 这种方法有助于患者更快地康复,更快地出院.
科学领域:
- 心血管外科心血管外科
- 最少侵入性的手术
- 增强的恢复协议 恢复协议
背景情况:
- 最少侵入性甲骨外科手术旨在改善患者的结果.
- 手术后增强恢复 (ERAS) 协议补充了手术技术,以优化术后护理.
- 完全内镜 mitra 门手术 (TEMVS) 提供了一种最少的侵入性方法.
研究的目的:
- 为TEMVS患者提供ERAS的机构协议.
- 评估ERAS协议与TEMVS结合的成果.
主要方法:
- 在2021-2023年期间,有113名患者接受了TEMVS.
- 使用外周通道和3D内镜技术进行的TEMVS.
- 实施全面的ERAS协议,包括患者教育,贫血管理,葡萄糖优化,康复,焦虑/止痛治疗,血液节约技术和早期术后护理.
主要成果:
- 低的并发症率:呼吸道 (9%),传染病 (3.5%),脏 (3.4%).
- 减少了输血需求:68.1%的人没有接受红细胞,90.2%的人没有接受新鲜冷血.
- 恢复时间缩短:中位数输出7小时,中位数在ICU停留1天,中位数在医院停留5天.
- 单个早期术后死亡率.
结论:
- 在TEMVS的帮助下,可以最大限度地减少外科创伤.
- 埃拉斯协议显著降低并发症和输血率.
- 结合的方法使得TEMVS后的早期恢复和释放成为可能.
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