School of Medicine and Surgery, Milano-Bicocca University, Monza, Italy.
General and Emergency Surgery Department, Fondazione IRCCS San Gerardo dei Tintori, Via Pergolesi 33, 20900, Monza, Italy.
World J Emerg Surg. 2023 Oct 6;18(1):47. doi: 10.1186/s13017-023-00519-2.
Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients' outcome. The key element of the enhanced perioperative care protocol is the multimodal and interdisciplinary approach targeted to the patient, focused on a holistic approach to reduce surgical stress and improve perioperative recovery. Enhanced perioperative care in emergency general surgery is still a debated topic with little evidence available. The present position paper illustrates the existing evidence about perioperative care in emergency surgery patients with a focus on each perioperative intervention in the preoperative, intraoperative and postoperative phase. For each item was proposed and approved a statement by the WSES collaborative group.
强化围手术期护理方案成为择期手术的护理标准，显著改善了患者的预后。强化围手术期护理方案的关键要素是多模式和跨学科的方法，以患者为中心，注重整体方法，以减少手术应激和改善围手术期恢复。在急诊普通外科中，强化围手术期护理仍然是一个有争议的话题，可用的证据很少。本立场文件说明了关于急诊手术患者围手术期护理的现有证据，重点是术前、术中、术后每个围手术期干预措施。为每个项目提出并通过了 WSES 协作组的声明。
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