Expert consensus on surgical nursing in enhanced recovery after surgery for esophageal cancer during perioperative period
Objective To make recommendations for surgical nursing in enhanced recovery after surgery(ERAS)for esophageal cancer(EC),to formulate Expert Consensus on Surgical Nursing in Enhanced Recovery after Surgery for Esophageal Cancer during Perioperative Period,to provide standardized guidance for perioperative nursing strategies in ERAS for patients with EC,to play a certain guiding role in clinical nursing,and to further accelerate the recovery of patients.Methods After literature review,two rounds of Delphi consultation in EC-related experts from domestic tertiary grade-A hospitals were conducted.The consensus was revised and improved.Results An expert consensus was formulated in 11 aspects,including research on pre-rehabilitation of EC during perioperative period,nutrition management,preoperative intestinal preparation and pipeline management.In the pre-rehabilitation of patients with EC,comprehensive evaluation,individualized education,cardiopulmonary evaluation,aerobic exercise training,anemia evaluation and management should be carried out,and appropriate pipeline management measures should be taken before surgery,such as not recommending routine use of nasogastric tube/nasojejunal tube,early oral intake and early removal to enhance recovery and low the risk of complications.Conclusion According to existing evidence and clinical experts,perioperative nursing norms in EARS for EC esophageal cancer surgery are integrated,and a consensus was formed to provide reference for clinical practice.
esophageal cancerenhanced recovery after surgeryperioperative nursingexpert consensuspre-rehabilitation
万方数据
维普
