Division of Colon and Rectal Surgery, Mayo Clinic, Mayo Clinic College of Medicine, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Division of Colon and Rectal Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Surg Clin North Am. 2018 Dec;98(6):1287-1292. doi: 10.1016/j.suc.2018.07.014. Epub 2018 Aug 24.
Although the utilization of enhanced recovery after surgery (ERAS) pathways has become more prevalent, issues of compliance and implementation remain. Limiting the complexity of new ERAS protocols by maintaining the core elements of ERAS, along with the development of complementary protocols (prehabilitation, the perioperative surgical home, and telemedicine) may improve overall uptake and subsequent patient outcomes. The future directions of ERAS should be centered on improving the dissemination of the practice and ongoing expansion of patient care outside the immediate hospital period.
尽管术后加速康复(ERAS)路径的应用已经变得更加普遍,但仍存在合规性和实施方面的问题。通过维持 ERAS 的核心要素并制定补充方案(术前康复、围手术期手术之家和远程医疗)来限制新 ERAS 方案的复杂性,可能会提高整体接受度和随后的患者结局。ERAS 的未来方向应该集中在改善实践的传播和在医院期间之外持续扩大患者护理范围。