Baldini Gabriele, Fawcett William J
Department of Anesthesia, Montreal General Hospital, McGill University Health Centre, 1650 Avenue Cedar, Montreal, Quebec H3G 1A4, Canada.
Royal Surrey County Hospital, Postgraduate School, University of Surrey, Guildford GU2 7XX, UK.
Anesthesiol Clin. 2015 Mar;33(1):93-123. doi: 10.1016/j.anclin.2014.11.007.
Anesthesiologists play a pivotal role in facilitating recovery of patients undergoing colorectal surgery, as many Enhanced Recovery After Surgery (ERAS) elements are under their direct control. Successful implementation of ERAS programs requires that anesthesiologists become more involved in perioperative care and more aware of the impact of anesthetic techniques on surgical outcomes and recovery. Key to achieving success is strict adherence to the principle of aggregation of marginal gains. This article reviews anesthetic and analgesic care of patients undergoing elective colorectal surgery in the context of an ERAS program, and also discusses anesthesia considerations for emergency colorectal surgery.
麻醉医生在促进结直肠手术患者的康复中发挥着关键作用,因为许多术后加速康复(ERAS)要素都在他们的直接掌控之下。成功实施ERAS计划要求麻醉医生更多地参与围手术期护理,并更加了解麻醉技术对手术结果和康复的影响。取得成功的关键是严格遵循边际收益累加原则。本文在ERAS计划的背景下回顾了择期结直肠手术患者的麻醉和镇痛护理,同时也讨论了急诊结直肠手术的麻醉注意事项。