加速康复外科(enhanced recovery after surgery,ERAS)可减少手术损伤\促进恢复,并在不同类型手术中改善术后结果.ERAS的核心原则之一是提供程序化的循证围术期干预措施.随着心脏手术ERAS相关干预措施的进步,国际多学科专家小组通过获得潜在的ERAS元素列表,回顾文献,发布了 ERAS每个主题领域的临床实践声明.2024版《心脏手术围术期监护:ERAS心脏协会、ERAS国际协会和美国胸外科医师协会联合共识声明》由2019版《心脏手术围术期监护指南:ERAS协会建议》发展而来,共识声明小组由心脏外科医师、麻醉医师、重症监护医师和护士等多学科专家,基于个人的ERAS专业知识和经验形成.本文对2024版共识的变化和新的声明进行了解读,可为成人心脏手术患者最佳围术期实践提供基础.
Interpretation of perioperative care in cardiac surgery:A joint consensus statement by the Enhanced Recovery after Surgery(ERAS)Cardiac Society,ERAS International Society,and the Society of Thoracic Surgeons(STS)
Enhanced recovery after surgery(ERAS)has been proven to reduce surgical injuries,promote recovery,and improve postoperative outcomes in different types of surgeries.A core principle of ERAS is to provide programmatic evidence-based perioperative interventions.An international multidisciplinary expert group provided a statement on clinical practice in each thematic area of ERAS by obtaining a list of potential ERAS elements,and reviewing literature.The version 2024 of"Perioperative care in cardiac surgery:A joint consensus statement by the Enhanced Recovery After Surgery(ERAS)Cardiac Society,ERAS International Society,and the Society of Thoracic Surgeons(STS)"is developed from the version 2019 of"Guidelines for perioperative care in cardiac surgery:Enhanced Recovery after Surgery Society recommendations".The consensus statement group was composed of multidisciplinary experts such as cardiac surgeons,anesthesiologists,intensive care physicians,and nurses,based on personal ERAS knowledge and experience.This article interprets the changes and new statements in the 2024 consensus,which can provide a foundation for the best peri-operative practices for adult cardiac surgery patients.
Enhanced recovery after surgerycardiac surgeryperioperative periodconsensusinterpretation
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