Lin Henry, Baker John W, Meister Katherine, Lak Kathleen L, Martin Del Campo Sara E, Smith April, Needleman Bradley, Nadzam Geoffrey, Ying Lee D, Varban Oliver, Reyes Angel Manuel, Breckenbridge Jamie, Tabone Lawrence, Gentles Charmaine, Echeverri Cristian, Jones Stephanie B, Gould Jon, Vosburg Wesley, Jones Daniel B, Edwards Michael, Nimeri Abdelrahman, Kindel Tammy, Petrick Anthony
Department of Surgery, Signature Healthcare, Brockton, Massachusetts.
Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
Surg Obes Relat Dis. 2024 Oct;20(10):895-909. doi: 10.1016/j.soard.2024.06.002. Epub 2024 Jun 19.
Clinical care pathways help guide and provide structure to clinicians and providers to improve healthcare delivery and quality. The Quality Improvement and Patient Safety Committee (QIPS) of the American Society for Metabolic and Bariatric Surgery (ASMBS) has previously published care pathways for the performance of laparoscopic sleeve gastrectomy (LSG) and pre-operative care of patients undergoing Roux-en-Y gastric bypass (RYGB).
This current RYGB care pathway was created to address intraoperative care, defined as care occurring on the day of surgery from the preoperative holding area, through the operating room, and into the postanesthesia care unit (PACU).
PubMed queries were performed from January 2001 to December 2019 and reviewed according to Level of Evidence regarding specific key questions developed by the committee.
Evidence-based recommendations are made for care of patients undergoing RYGB including the pre-operative holding area, intra-operative management and performance of RYGB, and concurrent procedures.
This document may provide guidance based on recent evidence to bariatric surgeons and providers for the intra-operative care for minimally invasive RYGB.
临床护理路径有助于指导临床医生和医疗服务提供者，并为其提供框架，以改善医疗服务的提供和质量。美国代谢与减重外科学会（ASMBS）的质量改进与患者安全委员会（QIPS）此前已发布了腹腔镜袖状胃切除术（LSG）的护理路径以及接受Roux-en-Y胃旁路术（RYGB）患者的术前护理路径。
制定当前的RYGB护理路径是为了解决术中护理问题，术中护理定义为从术前等候区到手术室再到麻醉后护理单元（PACU）的手术当天所提供的护理。
于2001年1月至2019年12月进行PubMed检索，并根据委员会提出的特定关键问题的证据级别进行审查。
针对接受RYGB手术患者的护理提出了循证建议，包括术前等候区、RYGB的术中管理与实施以及同期手术。
本文档可为减重外科医生和医疗服务提供者在微创RYGB术中护理方面提供基于最新证据的指导。
