Joris Jean, Léonard Daniel, Slim Karem
a Department of Anaesthesiology, Anaesthesia and Intensive Care , CHU Liège, ULiège , Liège , Belgium.
b GRACE: Groupe francophone de Réhabilitation Améliorée après ChirurgiE , Beaumont , France.
Acta Chir Belg. 2018 Apr;118(2):73-77. doi: 10.1080/00015458.2018.1427841. Epub 2018 Jan 15.
Although the concept of enhanced recovery after surgery was introduced more than 20 years ago, its implementation in daily practice still remains difficult.
This article addresses bottlenecks and barriers to the development of enhanced recovery programme (ERP). Barriers to the implementation are multifactorial and are raised by the different actors of these programmes: surgeons, anaesthetists, nurses, patients. Solutions and steps that must be respected to succeed in introducing ERP in an hospital are proposed.
Large-scale implementation of ERP continues to face mainly lack of trust and communication. Solutions exist and are based particularly on team work and interdisciplinary collaboration.
尽管手术加速康复的概念在20多年前就已提出，但其在日常实践中的应用仍然困难重重。
本文探讨了手术加速康复计划（ERP）发展的瓶颈和障碍。这些计划的实施障碍是多方面的，由该计划的不同参与者提出：外科医生、麻醉师、护士、患者。文中还提出了在医院成功引入ERP必须遵循的解决方案和步骤。
ERP的大规模实施仍然主要面临缺乏信任和沟通的问题。解决办法是存在的，尤其基于团队合作和跨学科协作。
