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在实施ERAS协议后,手术后排泄和阿片类药物的使用减少了自由手术的Emesis和阿片类药物的使用

Jesse K Siegel¹, Kayeromi Gomez², Carol Bier-Laning¹

¹Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, USA.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

|December 12, 2024

概括

在头部和部自由手术中实施手术后增强恢复 (ERAS) 协议,显著减少了阿片类药物使用和术后吐. 住院时间和死亡率没有显著变化.

科学领域:

外科手术的结果
麻醉学麻醉学
在瘤学瘤学.

背景情况:

手术后增强恢复 (ERAS) 协议旨在优化术后患者的治疗结果.
头部和部自由手术涉及复杂的重建,有可能导致显著的发病率.

研究的目的:

评估ERAS协议对头部和部自由片手术患者的术后结果的影响.
在四级护理中心实施ERAS之前和之后的结果进行比较.

主要方法:

追溯性研究设计.
分析来自单一四级护理机构的患者数据.
在 (2018年1月至2022年5月) 和在 (2022年6月至2023年9月) 实施ERAS协议之前的结果 (停留时间,阿片类药物使用,术后吐,再入院,死亡率) 的比较.

主要成果:

在ERAS组中,阿片类药物利用率 (P < .01) 和术后吐率 (P < .01) 显著降低.
即使在全喉切除子组中也观察到减少吐.
多变量分析证实了阿片类药物使用和吐的减少的重要性,控制了混因素.
在停留时间或死亡率方面没有发现显著差异.

结论:

实施头部和部自由手术的ERAS协议导致阿片类药物使用和术后吐的显著减少.
这项研究是第一个报告ERAS在头部和部手术中的术后吐减少的研究.
可以有效地定制ERAS协议,以改善复杂的外科手术过程中的特定结果,如头部和部自由重建.

关键词:

埃拉斯 (Eras) 是一个国际组织.免费的片可以自由的片.头部和部瘤学头部和部瘤学使用阿片类药物的使用.质量改善质量改善

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