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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.

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/12052557/30819ca11a11/ti-38-14163-g001.jpg

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