Department of Anesthesia, Critical Care and Pain Medicine, Stanford University School of Medicine, USA.
Department of Anesthesia, Critical Care and Pain Medicine, Stanford University School of Medicine, USA.
Best Pract Res Clin Anaesthesiol. 2022 May;36(1):89-105. doi: 10.1016/j.bpa.2022.01.001. Epub 2022 Jan 25.
Enhanced recovery after cesarean delivery (ERAC) is increasingly being implemented worldwide with the aim to improve patient care for women undergoing this procedure. ERAC is associated with superior maternal outcomes including decreased length of hospital stay, opioid consumption, pain scores, times to mobilization and urinary catheter removal and hospitalization costs, without increasing hospital readmission rates. A number of preoperative, intraoperative, and postoperative interventions have been incorporated into ERAC protocols. The evidence base for each intervention varies, and there is a lack of consensus as to which are the best and most appropriate interventions. The quality of evidence of studies evaluating ERAC is low, and the measurements for reporting its success are varied and disparate. Protocols rarely assess patient-reported outcome measures, patient satisfaction, or patient experience. The best measures of ERAC success are yet to be fully elucidated. Further work is required to evaluate protocols, interventions, and how best to measure the effect of ERAC.
剖宫产术后加速康复（ERAC）在全球范围内得到了越来越多的应用，旨在改善接受该手术的女性的患者护理。ERAC 与更好的产妇结局相关，包括缩短住院时间、减少阿片类药物的使用、降低疼痛评分、下床活动和拔除导尿管的时间以及住院费用，而不会增加医院再入院率。一些术前、术中和术后干预措施已被纳入 ERAC 方案中。每个干预措施的证据基础不同，对于哪些干预措施是最好和最合适的，还没有达成共识。评估 ERAC 的研究的证据质量较低，其成功的衡量标准也各不相同。方案很少评估患者报告的结果指标、患者满意度或患者体验。ERAC 成功的最佳衡量标准尚未完全阐明。需要进一步的工作来评估方案、干预措施以及如何最好地衡量 ERAC 的效果。
