Horosz Bartosz, Nawrocka Katarzyna, Malec-Milewska Małgorzata
Department of Anaesthesiology and Intensive Therapy, Medical Centre for Postgraduate Education (MCPE), Poland.
Anaesthesiol Intensive Ther. 2016;48(1):49-54. doi: 10.5603/AIT.2016.0006.
After many years of experience in surgery, a series of recommendations have been created by a group of European specialists to improve the quality of perioperative care and maximize postoperative outcomes. Early mobilization and oral feeding, preoperative oral intake of carbohydrate-rich fluids, proper fluid and pain management, intensive postoperative nausea and vomiting prophylaxis, and antimicrobial and thromboembolism prophylaxis are the interventions that may decrease surgery-induced metabolic stress and facilitate the return of bowel function and early discharge. The Enhanced Recovery After Surgery (ERAS) Society is the group that focuses on these perioperative issues. This paper aims to summarize the role of anaesthesiologists in the implementation of the ERAS protocol.
经过多年的外科手术经验，一组欧洲专家制定了一系列建议，以提高围手术期护理质量并使术后结果最大化。早期活动和经口进食、术前口服富含碳水化合物的液体、适当的液体和疼痛管理、强化术后恶心和呕吐预防以及抗菌和血栓栓塞预防是可能减少手术引起的代谢应激并促进肠功能恢复和早期出院的干预措施。术后加速康复（ERAS）协会是专注于这些围手术期问题的组织。本文旨在总结麻醉医生在实施ERAS方案中的作用。
