Department of Anesthesiology, Ohio State University School of Medicine, Columbus, OH, USA.
University of North Carolina, Chapel Hill, NC, USA.
Curr Pain Headache Rep. 2019 Mar 11;23(3):21. doi: 10.1007/s11916-019-0753-5.
Enhanced recovery pathways provide a framework outlining the best perioperative care for intra-abdominal surgical procedures. To date, no evidence-based umbrella guidelines exist for all intra-abdominal surgeries.
A PubMed and worldwide web search was performed with the keywords: "ERAS," "enhanced recovery after surgery", ± "protocol." Manuscripts addressing intra-abdominal procedures were selected, resulting in studies with the date range: 2012-2017. The basic philosophy behind enhanced recovery is the realization that a traditional hospital works in silos that need to be broken to ensure a care protocol that follows and optimizes the journey the patient makes during the perioperative care. Enhanced recovery interventions can be categorized into preoperative, perioperative, and postoperative interventions. By design, each intervention is planned and coordinated by a multidisciplinary ERAS team. Depending on the particular procedure and patient receiving the interventions, some of the interventions below may be more or less applicable. In this review, the most common elements of ERAS protocols in intra-abdominal procedures are reviewed, particularly those which provided the best outcomes and are most generalizable to all intra-abdominal procedures.
强化康复路径为腹腔内手术提供了最佳围手术期护理的框架。迄今为止，尚无针对所有腹腔内手术的基于循证的伞式指南。
通过使用关键词“ERAS”、“手术后强化康复”和“协议”，在 PubMed 和全球网络上进行了搜索。选择了涉及腹腔内手术的论文，研究日期范围为 2012 年至 2017 年。强化康复背后的基本理念是认识到传统医院是孤立运作的，需要打破这些孤岛，以确保遵循并优化患者在围手术期护理过程中的护理方案。强化康复干预可分为术前、围术期和术后干预。通过设计，每个干预措施都由多学科的 ERAS 团队进行规划和协调。根据特定的手术和接受干预的患者，下面的一些干预措施可能更适用或不适用。在本次综述中，我们回顾了腹腔内手术中 ERAS 方案最常见的要素，特别是那些提供最佳结果且最适用于所有腹腔内手术的要素。
