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术后加速康复:这些原则是否适用于成人及老年急性病护理和创伤手术?

Enhanced Recovery After Surgery: Are the Principles Applicable to Adult and Geriatric Acute Care and Trauma Surgery?

作者信息

Singh Mandeep, Askari Reza, Stopfkuchen-Evans Matthias

机构信息

Cardiothoracic Anesthesiology and Critical Care, Department of Anesthesiology, Keck Medical Center, University of Southern California, 1450 San Pablo Street, Suite 3600, Los Angeles, CA 90033, USA.

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

出版信息

Anesthesiol Clin. 2019 Mar;37(1):67-77. doi: 10.1016/j.anclin.2018.10.001. Epub 2018 Nov 22.

DOI:10.1016/j.anclin.2018.10.001
PMID:30711234
Abstract

The incorporation of enhanced recovery after surgery (ERAS) fundamentals into perioperative medicine has improved the patient care experience and hastened recovery time while reducing hospital costs. Research studies have shown that incorporating ERAS principles in the adult or geriatric acute care surgery populations minimizes time to resumption of preoperative activity and reduces hospital length of stay. ERAS principles are widely applicable to these patient cohorts and may be applicable in trauma patients. Increased physician and nursing education to promote widespread utilization of enhanced recovery protocols will further improve quality of health care administered in the twenty-first century.

摘要

将术后加速康复(ERAS)基本要素纳入围手术期医学,改善了患者护理体验,加快了康复时间,同时降低了医院成本。研究表明,在成人或老年急性护理手术人群中纳入ERAS原则可将恢复术前活动的时间减至最短,并缩短住院时间。ERAS原则广泛适用于这些患者群体,也可能适用于创伤患者。加强医生和护士培训以促进加速康复方案的广泛应用,将进一步提高21世纪医疗保健的质量。

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