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乳腺癌重建手术的加速康复。

Enhanced Recovery for Breast Reconstruction Surgery.

机构信息

Department of Anesthesiology, Ohio State University School of Medicine, Columbus, OH, USA.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Curr Pain Headache Rep. 2019 Mar 14;23(4):27. doi: 10.1007/s11916-019-0761-5.

Abstract

PURPOSE OF REVIEW

Enhanced recovery pathways are a well-described perioperative healthcare program involving evidence-based interventions. Enhanced recovery is designed to standardize techniques such as drug selection and nerve blocks in order to speed recovery and reduce overall hospital costs.

RECENT FINDINGS

A PubMed literature search was performed for articles that included the terms enhanced recovery and breast reconstruction surgery. The present investigation summarizes enhanced recovery literature related to breast surgery with a focus on breast reconstruction. Enhanced recovery considerations discussed in this review include patient education, preadmission optimization, perforator flap planning, anesthetic techniques, optimized fasting, venous thrombosis prophylaxis, early mobilization, and antimicrobial prophylaxis.

摘要

目的综述

强化康复路径是一种经过充分描述的围手术期医疗保健计划,包含基于证据的干预措施。强化康复旨在使药物选择和神经阻滞等技术标准化,以加快康复速度并降低整体住院成本。

最近的发现

对包含强化康复和乳房重建手术的术语的 PubMed 文献进行了检索。本研究总结了与乳房手术相关的强化康复文献,重点是乳房重建。本综述中讨论的强化康复考虑因素包括患者教育、入院前优化、穿支皮瓣规划、麻醉技术、优化禁食、静脉血栓预防、早期活动和抗菌预防。

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