Feldheiser A, Aziz O, Baldini G, Cox B P B W, Fearon K C H, Feldman L S, Gan T J, Kennedy R H, Ljungqvist O, Lobo D N, Miller T, Radtke F F, Ruiz Garces T, Schricker T, Scott M J, Thacker J K, Ytrebø L M, Carli F
Department of Anesthesiology and Intensive Care Medicine Campus Charité, Mitte and Campus Virchow-Klinikum Charité, University Medicine, Berlin, Germany.
St. Mark's Hospital, Harrow, Middlesex, UK.
Acta Anaesthesiol Scand. 2016 Mar;60(3):289-334. doi: 10.1111/aas.12651. Epub 2015 Oct 30.
The present interdisciplinary consensus review proposes clinical considerations and recommendations for anaesthetic practice in patients undergoing gastrointestinal surgery with an Enhanced Recovery after Surgery (ERAS) programme.
Studies were selected with particular attention being paid to meta-analyses, randomized controlled trials and large prospective cohort studies. For each item of the perioperative treatment pathway, available English-language literature was examined and reviewed. The group reached a consensus recommendation after critical appraisal of the literature.
This consensus statement demonstrates that anaesthesiologists control several preoperative, intraoperative and postoperative ERAS elements. Further research is needed to verify the strength of these recommendations.
Based on the evidence available for each element of perioperative care pathways, the Enhanced Recovery After Surgery (ERAS®) Society presents a comprehensive consensus review, clinical considerations and recommendations for anaesthesia care in patients undergoing gastrointestinal surgery within an ERAS programme. This unified protocol facilitates involvement of anaesthesiologists in the implementation of the ERAS programmes and allows for comparison between centres and it eventually might facilitate the design of multi-institutional prospective and adequately powered randomized trials.
本跨学科共识性综述针对接受胃肠道手术并采用术后加速康复（ERAS）方案的患者，提出了麻醉实践的临床考量及建议。
研究的选取特别关注荟萃分析、随机对照试验和大型前瞻性队列研究。针对围手术期治疗路径的每一项内容，查阅并回顾了现有的英文文献。该小组在对文献进行严格评估后达成了共识性建议。
本共识声明表明，麻醉医生控制着术前、术中和术后的多项ERAS要素。需要进一步研究以验证这些建议的力度。
基于围手术期护理路径各要素的现有证据，术后加速康复（ERAS®）学会针对ERAS方案下接受胃肠道手术的患者，给出了全面的共识性综述、临床考量及麻醉护理建议。这一统一方案有助于麻醉医生参与ERAS方案的实施，并允许各中心之间进行比较，最终可能有助于设计多机构前瞻性且样本量充足的随机试验。
