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胰腺切除术患者的围手术期管理:在三级护理中心实施护理计划。

Perioperative management of patients undergoing pancreatic resection: implementation of a care plan in a tertiary-care center.

机构信息

Department of Surgery and Oncology, Pancreas Institute, University of Verona, Verona, Italy.

出版信息

J Surg Oncol. 2013 Jan;107(1):51-7. doi: 10.1002/jso.23285. Epub 2012 Nov 5.

DOI:10.1002/jso.23285
PMID:23129003
Abstract

Evidence-based perioperative management is important for a successful outcome after pancreatic surgery. Use of protocolized pathways of care based on fast-track concepts has been shown to reduce hospital stay and contain costs. These regimens include pain control, early device removal (nasogastric tube, abdominal drains), enforced early mobilization, and early oral feeding. In this article, current evidence on perioperative management of pancreatic resections was analyzed in the attempt to implement our institutional care plan.

摘要

循证围手术期管理对于胰腺手术后的成功结局至关重要。基于快速康复理念的规范化护理路径的应用已被证实可缩短住院时间和控制成本。这些方案包括疼痛控制、早期器械移除(鼻胃管、腹腔引流管)、强制早期活动和早期口服喂养。本文旨在分析胰腺切除术围手术期管理的现有证据,以尝试实施我们的机构护理计划。

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