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美国产科麻醉学会与围产学会:剖宫产术后加速康复的共识声明与建议

Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery After Cesarean.

机构信息

From the Department of Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, Washington.

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center Magee-Womens Hospital, Pittsburgh, Pennsylvania.

出版信息

Anesth Analg. 2021 May 1;132(5):1362-1377. doi: 10.1213/ANE.0000000000005257.

Abstract

The purpose of this article is to provide a summary of the Enhanced Recovery After Cesarean delivery (ERAC) protocol written by a Society for Obstetric Anesthesia and Perinatology (SOAP) committee and approved by the SOAP Board of Directors in May 2019. The goal of the consensus statement is to provide both practical and where available, evidence-based recommendations regarding ERAC. These recommendations focus on optimizing maternal recovery, maternal-infant bonding, and perioperative outcomes after cesarean delivery. They also incorporate management strategies for this patient cohort, including recommendations from existing guidelines issued by professional organizations such as the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists. This consensus statement focuses on anesthesia-related and perioperative components of an enhanced recovery pathway for cesarean delivery and provides the level of evidence for each recommendation.

摘要

本文旨在总结由产科麻醉与围产学会 (SOAP) 委员会撰写并于 2019 年 5 月获得 SOAP 理事会批准的剖宫产术后加速康复 (ERAC) 方案。该共识声明的目的是提供有关 ERAC 的实用且在可行情况下基于证据的建议。这些建议侧重于优化剖宫产术后产妇的恢复、母婴结合和围手术期结局。它们还纳入了针对该患者群体的管理策略,包括美国妇产科医师学会和美国麻醉师学会等专业组织发布的现有指南中的建议。本共识声明重点关注剖宫产 ERAC 路径中与麻醉相关的和围手术期部分,并为每项建议提供证据级别。

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