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微创胸外科手术项目中的加速康复

Enhanced Recovery in a Minimally Invasive Thoracic Surgery Program.

作者信息

Schatz Christy

出版信息

AORN J. 2015 Nov;102(5):482-92. doi: 10.1016/j.aorn.2015.09.006.

DOI:10.1016/j.aorn.2015.09.006
PMID:26514705
Abstract

Enhanced Recovery After Surgery (ERAS®) is a strategy that seeks to reduce patients' perioperative stress response, thereby reducing potential complications, decreasing hospital length of stay, and enabling patients to return more quickly to their baseline functional status. The concept was introduced in the late 1990s and was first adopted for use with patients undergoing open colorectal surgery. Since that time, the concept of ERAS has spread to multiple surgical specialties. This article explores the changes in patient care using an ERAS framework in a minimally invasive thoracic surgery program, barriers to implementation, and patient outcomes.

摘要

术后加速康复(ERAS®)是一种旨在减轻患者围手术期应激反应的策略,从而减少潜在并发症,缩短住院时间,并使患者更快恢复到基线功能状态。这一概念于20世纪90年代末提出,最初用于接受开放性结直肠手术的患者。从那时起,ERAS的概念已扩展到多个外科专业。本文探讨了在微创胸外科手术项目中使用ERAS框架时患者护理的变化、实施障碍和患者结局。

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