摘要
心脏外科历来是实践“快通道手术”的主要专业之一。在过去20余年里,加速康复外科(enhanced recovery after surgery,ERAS)成为围术期医学中广泛讨论的话题,它能显著改善患者预后并节省医疗成本。这一前沿理念也逐步在心脏外科得以应用和推广。然而,相较于其它外科领域,目前心脏手术ERAS相关研究在数量、规模和应用的普遍性方面仍十分有限。因此,本文着重介绍开展成人体外循环心脏手术ERAS的当前理念与进展,旨在为全面建设心脏手术ERAS方案项目提供指引。
Cardiac surgery has always been one of the major specialties in the development of“fast track surgery”.Enhanced recovery after surgery(ERAS)has become a widespread topic in perioperative medicine over the past 20 years,and it results in substantial improvements in clinical outcomes and cost savings.This frontier concept has also been increasingly applied and promoted in cardiac surgery.However,compared with other surgical fields,current studies regarding cardiac surgery are still limited in quantity,scale and universality of application.Therefore,this review focuses on current concept and progress of ERAS in adult patients undergoing cardiac surgery with cardiopulmonary bypass,aiming to provide guidance for the establishment of a better framework.
作者
徐艺
余海
XU Yi;YU Hai(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2020年第12期1479-1484,共6页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
加速康复外科
体外循环
心脏手术
综述
Enhanced recovery after surgery
cardiopulmonary bypass
cardiac surgery
review
作者简介
通信作者:余海,Email:yuhaishan117@yahoo.com。
