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前进之路:心胸移植术后加速康复综述

The Path Forward: A Review on Enhanced Recovery After Cardiothoracic Transplantation.

作者信息

Bello Irene, Ceulemans Laurens J, Amarelli Cristiano

机构信息

Department of Thoracic Surgery, Hospital Clínic, Respiratory Institute, Barcelona, Spain.

Inflammation and Repair in Respiratory Diseases Group, Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.

出版信息

Transpl Int. 2025 Apr 22;38:14163. doi: 10.3389/ti.2025.14163. eCollection 2025.

DOI:10.3389/ti.2025.14163
PMID:40330077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12052557/
Abstract

Enhanced Recovery After Surgery (ERAS) protocols represent a contemporary, evidence-based strategy for optimizing perioperative care to enhance patient outcomes through a standardized approach. While ERAS protocols have demonstrated significant benefits across a range of surgical specialties, specific guidelines tailored for cardiothoracic transplantation have yet to be developed. Given the unique complexity and heightened vulnerability of transplant patients, the implementation of ERAS principles in this context could potentially mitigate postoperative complications, reduce the length of hospital stays, and facilitate improved recovery trajectories. This review highlights the critical importance of adapting and applying ERAS methodologies in cardiothoracic transplantation to achieve improved surgical outcomes and elevate patient quality of life.

摘要

术后加速康复(ERAS)方案是一种现代的、基于证据的策略,通过标准化方法优化围手术期护理,以改善患者预后。虽然ERAS方案已在一系列外科专业中显示出显著益处,但针对心胸移植的具体指南尚未制定。鉴于移植患者独特的复杂性和更高的脆弱性,在这种情况下实施ERAS原则可能会减轻术后并发症,缩短住院时间,并促进更好的康复轨迹。本综述强调了在心胸移植中调整和应用ERAS方法以实现更好的手术效果和提高患者生活质量的至关重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789c/12052557/d0172c82443d/ti-38-14163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789c/12052557/30819ca11a11/ti-38-14163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789c/12052557/d0172c82443d/ti-38-14163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789c/12052557/30819ca11a11/ti-38-14163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789c/12052557/d0172c82443d/ti-38-14163-g002.jpg

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本文引用的文献

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Comparing right- versus left-first implantation in off-pump sequential double-lung transplantation: an observational cohort study.比较不停跳序贯双肺移植中右侧与左侧优先植入:一项观察性队列研究。
Eur J Cardiothorac Surg. 2024 Sep 2;66(3). doi: 10.1093/ejcts/ezae331.
3
Prevention and Rehabilitation After Heart Transplantation: A Clinical Consensus Statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a Section of ESOT.心脏移植后的预防与康复:欧洲预防心脏病学协会、欧洲心脏病学会心力衰竭协会以及欧洲心胸移植协会(欧洲器官移植学会下属部门)的临床共识声明
Transpl Int. 2024 Jun 19;37:13191. doi: 10.3389/ti.2024.13191. eCollection 2024.
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Protocol for venoarterial ExtraCorporeal Membrane Oxygenation to reduce morbidity and mortality following bilateral lung TransPlantation: the ECMOToP randomised controlled trial.静脉-动脉体外膜肺氧合在双肺移植术后降低发病率和死亡率的方案:ECMOToP 随机对照试验。
BMJ Open. 2024 Mar 5;14(3):e077770. doi: 10.1136/bmjopen-2023-077770.
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Impact of minimally invasive lung transplantation on early outcomes and analgesia use: A matched cohort study.微创肺移植对早期结局和镇痛药物使用的影响:一项匹配队列研究。
J Heart Lung Transplant. 2024 Aug;43(8):1358-1366. doi: 10.1016/j.healun.2024.01.014. Epub 2024 Feb 2.
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Robotic-assisted lung transplantation: First in man.机器人辅助肺移植:首例人体试验。
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