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肾移植患者的术后加速康复(ERAS)

Enhanced Recovery After Surgery (ERAS) in Renal Transplantation Patients.

作者信息

Karaaslan Pelin, Uludağ Yanaral Tümay

机构信息

İstanbul Medipol University Faculty of Medicine, Department of Anaesthesiology and Reanimation, İstanbul, Türkiye.

出版信息

Turk J Anaesthesiol Reanim. 2025 Feb 11;53(1):1-4. doi: 10.4274/TJAR.2024.241702.

DOI:10.4274/TJAR.2024.241702
PMID:39932040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11827510/
Abstract

Enhanced recovery after surgery (ERAS) is a set of methods that provide early recovery with a multimodal approach in the perioperative care pathway. ERAS protocols are widely used worldwide in major surgery to improve surgical outcomes and require multidisciplinary collaboration. Using ERAS protocols means better pain management, earlier mobilization, improved oral nutrition, shorter hospital stays, and cost-effectiveness. ERAS protocols were introduced into renal transplant programs quite late. Transplantation patients are challenging and should be well prepared and followed up for ERAS. This review article highlights preoperative, intraoperative, and postoperative important points for preparing patients for renal transplantation for early recovery.

摘要

术后加速康复(ERAS)是一套在围手术期护理路径中采用多模式方法实现早期康复的措施。ERAS方案在全球范围内广泛应用于大型手术,以改善手术效果,且需要多学科协作。采用ERAS方案意味着更好的疼痛管理、更早的活动、改善口服营养、缩短住院时间以及成本效益。ERAS方案很晚才被引入肾移植项目。移植患者情况复杂,应为ERAS做好充分准备并进行随访。这篇综述文章重点介绍了肾移植患者术前、术中和术后早期康复的要点。

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Enhanced Recovery After Surgery (ERAS) in Renal Transplantation Patients.肾移植患者的术后加速康复(ERAS)
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引用本文的文献

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Fluid Selection in Renal Transplant Patients: Considerations for Hyperkalemia Management.肾移植患者的液体选择:高钾血症管理的考量因素
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本文引用的文献

1
Enhanced recovery after surgery recommendations for renal transplantation: guidelines.肾移植术后加速康复建议:指南
Br J Surg. 2022 Dec 13;110(1):57-59. doi: 10.1093/bjs/znac325.
2
Enhanced Recovery After Surgery Pathway in Kidney Transplantation: The Road Less Traveled.肾移植术后加速康复路径:鲜有人走的路。
Transplant Direct. 2022 Jun 17;8(7):e1333. doi: 10.1097/TXD.0000000000001333. eCollection 2022 Jul.
3
Anaesthetic Approach to Enhanced Recovery after Surgery for Kidney Transplantation: A Narrative Review.肾移植术后加速康复的麻醉方法:叙述性综述
J Clin Med. 2022 Jun 15;11(12):3435. doi: 10.3390/jcm11123435.
4
Enhanced Recovery after Surgery: History, Key Advancements and Developments in Transplant Surgery.手术后加速康复:移植手术的历史、关键进展与发展
J Clin Med. 2021 Apr 12;10(8):1634. doi: 10.3390/jcm10081634.
5
Perioperative considerations for kidney and pancreas-kidney transplantation.肾和胰肾联合移植的围手术期注意事项。
Best Pract Res Clin Anaesthesiol. 2020 Mar;34(1):3-14. doi: 10.1016/j.bpa.2020.01.005. Epub 2020 Jan 22.
6
KDIGO Clinical Practice Guideline on the Evaluation and Management of Candidates for Kidney Transplantation.KDIGO 临床实践指南:肾移植候选人的评估和管理。
Transplantation. 2020 Apr;104(4S1 Suppl 1):S11-S103. doi: 10.1097/TP.0000000000003136.
7
Perioperative management of adult cadaveric and live donor renal transplantation in the UK: a survey of national practice.英国成人尸体和活体供肾肾移植的围手术期管理:全国实践调查
Clin Kidney J. 2019 Feb 25;12(6):880-887. doi: 10.1093/ckj/sfz017. eCollection 2019 Dec.
8
Development and implementation of an enhanced recovery after surgery protocol for renal transplantation.肾移植术后加速康复方案的制定与实施
ANZ J Surg. 2019 Oct;89(10):1319-1323. doi: 10.1111/ans.15461. Epub 2019 Oct 1.
9
Post-transplantation diabetes in kidney transplant recipients: an update on management and prevention.肾移植受者移植后糖尿病:管理和预防的最新进展。
Acta Diabetol. 2018 Aug;55(8):763-779. doi: 10.1007/s00592-018-1137-8. Epub 2018 Apr 4.
10
Extracellular overhydration linked with endothelial dysfunction in the context of inflammation in haemodialysis dependent chronic kidney disease.在依赖血液透析的慢性肾病炎症背景下,细胞外水合过度与内皮功能障碍相关。
PLoS One. 2017 Aug 22;12(8):e0183281. doi: 10.1371/journal.pone.0183281. eCollection 2017.