摘要
快速康复外科(ERAS)是指依据一系列循证医学证据而采取围手术期处理的优化措施,强调临床多学科合作,以改善患者预后,减少并发症,缩短术后住院时间。麻醉在ERAS的各个环节中,包括患者术前宣教、评估与优化、麻醉方式及用药、液体治疗、体温监控、术后镇痛等方面发挥重要作用,本文主要综述临床麻醉在ERAS管理中的新理念和新认识。
Enhanced recovery after surgery（ ERAS） is a series of clinical programs on base of evidence-based perioperative optimization management,focusing on clinical multidisciplinary cooperation,with an attempt to improve patient＇s outcomes,reduce complications,and shorten postoperative hospitalization. Anesthesia plays an important role in many aspects of ERAS,including patient education,preoperative evaluation and optimization,anesthesia choice and medication,fluid therapy,temperature monitoring,and postoperative analgesia. This review explores new understandings and points on clinical anesthesia in ERAS management.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2015年第6期750-754,共5页
Acta Academiae Medicinae Sinicae
关键词
快速康复外科
麻醉方式
液体治疗
术后镇痛
enhanced recovery after surgery
anesthesia choice
fluid therapy
postoperative analgesia
