社区医院中的术后快速康复。

Enhanced Recovery After Surgery in Community Hospitals.

机构信息

Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, 4805 Northeast Glisan Street, Suite 6N60, Portland, OR 97212, USA; Department of Surgery, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.

出版信息

Surg Clin North Am. 2018 Dec;98(6):1233-1239. doi: 10.1016/j.suc.2018.07.009. Epub 2018 Aug 28.

DOI:10.1016/j.suc.2018.07.009

PMID:30390855

Abstract

Multidisciplinary collaboration and administrative support are essential to enhanced recovery program (ERP) success. The key tenets for ERP are opiate-sparing pain regimen, decreased fasting, and minimizing intravenous fluids. Getting buy-in from community surgeons may be difficult due to varied practice patterns and clinical fragmentation. Prospective tracking of ERP outcomes will allow for more targeted interventions.

摘要

多学科协作和行政支持对于增强康复计划 (ERP) 的成功至关重要。ERP 的关键原则是减少阿片类药物的疼痛管理方案、缩短禁食时间和减少静脉输液。由于实践模式和临床碎片化的差异，获得社区外科医生的认可可能具有挑战性。对 ERP 结果进行前瞻性跟踪将允许进行更有针对性的干预。