Pande Ravi U, Nader Nader D, Donias Harry W, D'Ancona Giuseppe, Karamanoukian Hratch L
Department of Surgery, Buffalo General Hospital at Kaleida Health, Buffalo, New York, USA.
Heart Surg Forum. 2003;6(4):244-8.
A "fast track" approach to cardiac surgery can be defined as a perioperative process involving rapid progress from preoperative preparation through surgery and discharge from the hospital. Although highly individualized among the various heart surgery centers, the fast-track process is a team activity. It requires a team of health care providers to interact with the patient at various phases, from admission to discharge. The necessary elements of the fast-track program are choice and the titration of short-acting anesthetic drugs, standardized surgical procedures, early extubation, rewarming and sustained postoperative normothermia, postoperative pain control, early ambulation, alimentation and discharge, and follow-up after discharge. We review the current approaches to some of these aspects of patient care.
心脏手术的“快速康复”方法可定义为一种围手术期过程，涵盖从术前准备到手术及出院的快速进展。尽管在各个心脏手术中心之间具有高度个体化差异，但快速康复过程是一项团队活动。它要求一组医疗保健提供者在从入院到出院的各个阶段与患者进行互动。快速康复计划的必要要素包括短效麻醉药物的选择和滴定、标准化手术程序、早期拔管、复温及术后持续正常体温、术后疼痛控制、早期活动、营养支持与出院，以及出院后随访。我们回顾了目前在患者护理这些方面的一些方法。
