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[引入术后加速康复(ERAS)方案后外科医生对麻醉医生看法的改变:参与ERAS护理的外科医生问卷调查]

[Change of surgeons' opinion against anesthesiologists after introduction of enhanced recovery after surgery (ERAS) protocols: questionnaire survey among surgeons who participated ERAS care].

作者信息

Shida Dai, Tagawa Kyoko, Takahashi Hidemasa, Suzuki Takeo, Inoue Satoru

机构信息

Department of Surgery, Metropolitan Bokutoh Hospital, Tokyo 130-8575.

出版信息

Masui. 2011 Dec;60(12):1411-5.

Abstract

BACKGROUND

Enhanced recovery after surgery (ERAS) protocols aim to improve patient care, reducing complication rates, and shortening hospital stay following colorectal surgery in Europe. In cooperation of colorectal surgeons and anesthesiologists, ERAS protocols were initially introduced in our hospital to the patients who underwent open colorectal resection in July 2010.

METHODS

Using a questionnaire, we surveyed the change of surgeons' opinion against anesthesiologists after introduction of ERAS among 15 surgeons at Metropolitan Bokutoh hospital.

RESULTS

Surgeons realized that introduction of ERAS made strong communication between surgeons and anesthesiologists. And they also thought it is not surgeons themselves nor anesthesiologists themselves but 'team care' which could produce positive outcome of ERAS.

CONCLUSIONS

Introduction of ERAS as collaboration of surgeons and anesthesiologists resulted in facilitating communication of surgeons and anesthesiologists.

摘要

背景

在欧洲,术后加速康复(ERAS)方案旨在改善患者护理,降低并发症发生率,并缩短结直肠手术后的住院时间。2010年7月,在结直肠外科医生和麻醉医生的合作下,我院首次将ERAS方案应用于接受开放性结直肠切除术的患者。

方法

我们通过问卷调查,对博古都医院的15名外科医生进行了调查,以了解在引入ERAS后他们对麻醉医生看法的变化。

结果

外科医生意识到,ERAS的引入加强了外科医生与麻醉医生之间的沟通。他们还认为,产生ERAS积极效果的不是外科医生自身,也不是麻醉医生自身,而是“团队护理”。

结论

外科医生与麻醉医生合作引入ERAS,促进了两者之间的沟通。

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