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术后加速康复:现状与未来进展。

Enhanced recovery after surgery: Current status and future progress.

机构信息

Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham, UK.

Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Queen's Medical Centre, Nottingham, UK; MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, School of Life Sciences, University of Nottingham, Queen's Medical Centre, Nottingham, UK.

出版信息

Best Pract Res Clin Anaesthesiol. 2021 Dec;35(4):479-489. doi: 10.1016/j.bpa.2020.10.001. Epub 2020 Oct 10.

Abstract

Enhanced Recovery After Surgery (ERAS) pathways were first introduced almost a quarter of a century ago and represent a paradigm shift in perioperative care that reduced postoperative complications and hospital length of stay, improved postoperative quality of life, and reduced overall healthcare costs. Gradual recognition of the generalizability of the interventions and transferable improvements in postoperative outcomes, led them to become standard of care for several surgical procedures. In this article, we critically review the current status of ERAS pathways, address related controversies, and propose measures for future progress.

摘要

加速康复外科(ERAS)路径在近四分之一世纪前首次引入,代表了围手术期护理的范式转变,减少了术后并发症和住院时间,改善了术后生活质量,并降低了整体医疗保健成本。人们逐渐认识到这些干预措施的普遍性和术后结果的可转移性改善,使它们成为几种手术的标准护理。在本文中,我们批判性地回顾了 ERAS 路径的现状,解决了相关争议,并提出了未来进展的措施。

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