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成年人术前禁食:一个国际,多学科的共识声明
Anne Rüggeberg1, Kariem El-Boghdadly2, Federico Bilotta3
1Department of Anaesthesiology and Pain Therapy, Helios Klinikum Emil von Behring, Berlin, Germany.
Anaesthesia
|February 9, 2026
概括
在麻醉前2小时内自由化术前清洁液体摄入可以改善患者的健康状况. 这份最新的指南将禁食时间降至最低,同时保持安全,有利于术后护理.
科学领域:
- 麻醉学 麻醉学
- 手术护理 手术护理
- 患者安全 患者安全
背景情况:
- 长时间的手术前禁食与患者的不良结果有关,包括健康状况下降和生理反应受损.
- 现有的禁食指南可能会导致不必要的长时间禁食,需要更新建议.
- 禁食实践的自由化是一个日益增长的趋势,需要基于证据的指导.
研究的目的:
- 为术前禁食实践制定国际,多学科的建议.
- 通过推广更新的指南来解决长时间禁食的不良影响.
- 通过优化的禁食协议来增强患者护理.
主要方法:
- 系统的文献审查,以确定术后禁食的关键问题.
- 制定了13项建议草案,通过三轮的德尔菲共识进程进行了完善.
- 涉及多元化的国际利益相关者小组,包括来自五大洲的患者和医疗保健专业人员.
主要成果:
- 关于外科手术前禁食的八个共识建议被建立起来.
- 应该保持目前固体和不透明液体禁食的现行做法.
- 建议在麻醉前2小时内摄入清洁液体,机构协议支持更自由的摄入量.
结论:
- 国际共识支持在安全范围内尽量减少外科手术前的禁食时间.
- 通过机构协议支持的自由化透明液体摄入方案,可以改善患者的护理.
- 更新的指导方针旨在提高患者的福祉,并优化术后管理.
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