Department of Anesthesiology, Duke University, Duke University Medical Center, Box 3094, Durham, NC 27710, USA.
Department of Anesthesiology, Duke University, Duke University Medical Center, Box 3094, Durham, NC 27710, USA.
Surg Clin North Am. 2018 Dec;98(6):1171-1184. doi: 10.1016/j.suc.2018.07.005. Epub 2018 Aug 22.
Enhanced recovery after surgery is an evidence-based, multimodal approach to the perioperative care of a patient undergoing surgery. These pathways seek to attenuate the stress response to surgery facilitating postoperative recovery. Analgesia is a critical component of these pathways, because optimal pain relief is critical for patients to mobilize quickly after surgery, preventing such complications as infection and thromboembolism. Traditional analgesic regimens for major surgery rely heavily on opioids to provide analgesia but can cause a wide range of serious side effects, delaying recovery. Enhanced recovery protocols should incorporate multimodal analgesic strategies that minimize opioid use and optimize analgesia.
术后加速康复是一种基于循证医学的围手术期综合处理方法。这些方案旨在减轻手术应激反应，促进术后恢复。镇痛是这些方案的关键组成部分，因为理想的止痛效果对于患者术后快速活动非常重要，可以预防感染和血栓栓塞等并发症。传统的大型手术镇痛方案严重依赖阿片类药物来提供镇痛，但会引起广泛的严重副作用，从而延迟康复。加速康复方案应包含多模式镇痛策略，尽量减少阿片类药物的使用并优化镇痛效果。
