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胸外科手术加速康复(ERAS)

Enhanced Recovery After Surgery (ERAS) in Thoracic Surgery.

作者信息

Semenkovich Tara R, Hudson Jessica L, Subramanian Melanie, Kozower Benjamin D

机构信息

Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, Missouri.

Division of Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, Missouri.

出版信息

Semin Thorac Cardiovasc Surg. 2018;30(3):342-349. doi: 10.1053/j.semtcvs.2018.06.001. Epub 2018 Jun 22.

Abstract

Enhanced Recovery After Surgery (ERAS) pathways are protocolled collections of perioperative decisions designed to improve outcomes that are becoming increasingly popular across surgical subspecialties. In this article, we review 5 recent manuscripts focused on ERAS for elective pulmonary resections, focusing on the components of the pathways and the resultant outcomes. Overall, we observed that ERAS protocols can be safely implemented without increasing hospital readmission or mortality. The benefit is largely seen in shortened length of stay, though there is some promise for decreasing rates of important perioperative complications, especially in patients receiving thoracotomies. More research is needed into the specific elements that impact care, as well as the effect on overall patient experience.

摘要

术后加速康复(ERAS)路径是一系列经过规范的围手术期决策集合,旨在改善手术效果,目前在各个外科亚专业中越来越受欢迎。在本文中,我们回顾了5篇近期关注ERAS用于择期肺切除术的手稿,重点关注路径的组成部分和由此产生的结果。总体而言,我们观察到ERAS方案可以安全实施,而不会增加医院再入院率或死亡率。益处主要体现在缩短住院时间上,不过在降低重要围手术期并发症发生率方面也有一定前景,尤其是在接受开胸手术的患者中。需要对影响护理的具体因素以及对患者整体体验的影响进行更多研究。

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