摘要
随着加速康复外科(ERAS)的发展,其理念也开始引入到肝移植围手术期的管理,以促进肝移植患者术后康复;麻醉管理作为围手术期应激反应调控的核心,贯穿于ERAS的始终,包括革新麻醉和手术方法、术后早期拔管、缩短住院时间、降低术后并发症发生率和病死率、节约医疗资源等;其中,早期拔管策略是落实ERAS理念的重要环节,目的在于缩短术后机械通气时间与重症监护病房(ICU)住院时间,促进患者术后康复。因此,本文就ERAS理念下,肝移植患者围手术期早期拔管的发展及应用进行详细描述,以期为麻醉医师在肝移植围手术期合理实施早期拔管提供参考。
In the wake of enhanced recovery of surgery(ERAS),its concept has also begun to be introduced into the perioperative management of liver transplantation to promote postoperative accelerated recovery of patients.Anesthesia management,as the core of perioperative stress response regulation,runs through it,including reforming anesthesia and surgical methods,early extubation,shortening hospital length of stay,decreasing the incidence of postoperative complications and mortality,saving medical resources,etc.Among them,an early extubation strategy is a critical part of implementing the concept of ERAS.The purpose is to shorten the postoperative mechanical ventilation time and intensive care unit(ICU)stay time to promote postoperative accelerated recovery of patients.Therefore,this article will give a detailed description of the development and application of early extubation in the perioperative period of liver transplantation in patients under ERAS,to provide a reference for anesthesiologists to reasonably implement early extubation in the perioperative period of liver transplantation.
作者
徐艳
刘馨
姜春玲
Xu Yan;Liu Xin;Jiang Chunling(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2022年第6期746-749,共4页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
国家自然科学基金(81971806)
四川大学华西医院学科卓越发展1·3·5项目(2018HXFH046)
关键词
终末期肝病
肝移植
早期拔管
加速康复外科
End-stage liver disease
Liver transplantation
Early extubation
Enhanced recovery of surgery
作者简介
通信作者:姜春玲,Email:jiangchunling@scu.edu.cn
