协和医学杂志

2019, v.10(06) 562-569

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成人日间手术加速康复外科麻醉管理专家共识
Expert Consensus on Anesthesia Management of Enhanced Recovery after Adult Ambulatory Surgery

马正良;黄宇光;顾小萍;仓静;
MA Zheng-liang;HUANG Yu-guang;Working Group of "Expert Consensus on Anesthesia Management of Enhanced Recovery after Ambulatory Surgery",Chinese Society of Anesthesiology;Department of Anesthesiology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

摘要(Abstract):

中国日间手术合作联盟定义的日间手术是指患者在一日(24 h)内完成入、出院的手术或操作(不含门诊手术),对于特殊病例由于病情需要延期住院的患者,住院最长时间不超过48 h。加速康复外科是以循证医学证据为基础的围手术期优化措施,有助于减少手术应激与炎症反应,促进患者快速康复,提高患者围手术期安全性和舒适性。基于日间手术住院时间短、床位周转率高的特点,加速康复外科理念下的麻醉管理为日间手术安全、舒适和高效发展奠定了基础。
The definition of ambulatory surgery by the China Ambulatory Surgery Alliance refers to an operation( excluding outpatient surgery) completed within one day( 24 h). For the patients with special conditions who have to prolong hospital stays,the length of hospital stays should not exceed 48 h. Enhanced recovery after surgery( ERAS) is a series of optimized perioperative treatments with evidence-based medicine that can reduce perioperative stress and inflammatory responses,promote rapid recovery,and improve patients' perioperative safety and comfort. Ambulatory surgery has the advantages of short hospital stay and high rate of bed rotation. Based on these characteristics,optimized anesthesia management under the concept of ERAS can enhance the safety,comfort,and efficacy of ambulatory surgery.

关键词(KeyWords): 成人日间手术;加速康复外科;麻醉管理
adult ambulatory surgery;enhanced recovery after surgery;anesthesia management

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作者(Author): 马正良;黄宇光;顾小萍;仓静;
MA Zheng-liang;HUANG Yu-guang;Working Group of "Expert Consensus on Anesthesia Management of Enhanced Recovery after Ambulatory Surgery",Chinese Society of Anesthesiology;Department of Anesthesiology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

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