University Clinical Center of Vojvodina, Anesthesia, Intensive care and Pain Therapy, Novi Sad, Serbia.
University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Acta Clin Croat. 2022 Sep;61(Suppl 2):151-154. doi: 10.20471/acc.2022.61.s2.20.
In the past few decades, many changes have been noticed in all medical branches, especially in surgery. Enhanced Recovery After Surgery (ERAS) is a completely new approach, with the main goal to change the period of patient's recovery, making perioperative time easier and shorter. The patient's recovery is faster, better and the patient's satisfaction is bigger. Patients have an active role in their own recovery, which results in faster return to work and everyday activities. Hospital Length of Stay (LOS) is shorter and associated with concomitant financial savings. After ERAS protocol had been implemented in colorectal, abdominal surgery, urology orthopedic and oncology, and finally in obstetrics for cesarean section as well. This protocol has mostly been used in developed countries, but not in all hospitals. Creation and implementation of ERAS protocol is hard work, which includes multidisciplinary team work and especially a team leader, who coordinates the medical team, the patient and hospital management. Conclusion: Creation of an ERAS protocol is very serious and long- lasting work. It is multidisciplinary and it usually has to be individually tailored for each institution itself in coordination with the health care system and with the final implementation in the medical system.
在过去的几十年中，所有医学分支都发生了许多变化，尤其是在外科领域。加速康复外科（ERAS）是一种全新的方法，其主要目标是改变患者的康复期，使围手术期时间更轻松、更短。患者的康复更快、更好，患者满意度更高。患者在自己的康复过程中扮演积极的角色，这导致更快地返回工作和日常生活。住院时间（LOS）更短，同时伴随着相应的财务节省。ERAS 方案在结直肠、腹部外科、泌尿科、骨科和肿瘤学领域实施后，最终也在剖腹产的产科领域实施。该方案主要在发达国家使用，但并非所有医院都使用。ERAS 方案的创建和实施是一项艰巨的工作，它包括多学科团队合作，特别是一个协调医疗团队、患者和医院管理的团队领导。结论：创建 ERAS 方案是一项非常严肃和持久的工作。它是多学科的，通常需要与医疗保健系统协调，为每个机构量身定制，并最终在医疗系统中实施。
