麻醉醫師主導的快速康復技術在日間手術中的應用_West China Medical Journal

Authors：

 王洋洋 ,  王曉

四川大學華西醫院麻醉科（成都 610041）;

Corresponding?author：

王曉, Email: wangxiao2010111@qq.com

Keywords：

快速康復技術; 日間手術; 圍手術期管理

DOI：

10.7507/1002-0179.20150236

Video：

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麻醉醫師主導的快速康復技術是指麻醉醫師在已有臨床證據的基礎上，通過改進患者術前準備、優化術中管理、加快患者術后恢復等一系列圍手術期管理措施，加速患者康復。將該技術應用于日間手術的圍手術期管理，可以進一步加快患者術后恢復，縮短在院時間，減少整體醫療費用，進而促進醫療資源的合理利用，提高患者滿意度。現就麻醉醫師主導的快速康復技術在日間手術的應用作一綜述，以便更多的臨床醫生了解快速康復技術并應用于日間手術的管理。

Citation： 王洋洋, 王曉. 麻醉醫師主導的快速康復技術在日間手術中的應用. West China Medical Journal, 2015, 30(5): 824-827. doi: 10.7507/1002-0179.20150236 Copy

1.	Urbach DR, Baxter NN. Reducing variation in surgical care[J]. BMJ, 2005, 330(7505):1401-1402.
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6.	Van Vlymen JM, Sa Rego MM, White PF. Benzodiazepine premedication:can it improve outcome in patients undergoing breast biopsy procedures?[J]. Anesthesiology, 1999, 90(3):740-774.
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29.	Elvir-Lazo OL, White PF. Postoperative pain management after ambulatory surgery:role of multimodal analgesia[J]. Anesthesiol Clin, 2010, 28(2):217-224.
30.	Pergolizzi JV Jr, Taylor R Jr, Raffa RB. Intranasal ketorolac as part of a multimodal approach to postoperative pain[J]. Pain Pract, 2014:378-388.
31.	Apfel CC, Roewer N. Risk assessment of postoperative nausea and vomiting[J]. Int Anesthesiol Clin, 2003, 41(4):13-32.
32.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery:Enhanced Recovery After Surgery (ERAS(R)) Society recommendations[J]. Clin Nutr, 2012, 31(6):783-800.
33.	White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast-track surgery:from multimodal analgesia to perioperative medical care[J]. Anesth Analg, 2007, 104(6):1380-1396.
34.	Abdullah HR, Chung F. Postoperative issues:discharge criteria[J]. Anesthesiol Clin, 2014, 32(2):487-493.
35.	Aldrete JA. The post-anesthesia recovery score revisited[J]. J Clin Anesth, 1995, 7(1):89-91.
36.	Chung F. Recovery pattern and home-readiness after ambulatory surgery[J]. Anesth Analg, 1995, 80(5):896-902.
37.	Twersky RS, Sapozhnikova S, Toure B. Risk factors associated with fast-track ineligibility after monitored anesthesia care in ambulatory surgery patients[J]. Anesth Analg, 2008, 106(5):1421-1426.

1. Urbach DR, Baxter NN. Reducing variation in surgical care[J]. BMJ, 2005, 330(7505):1401-1402.
2. Clarke HD, Timm VL, Goldberg BR, et al. Preoperative patient education reduces in-hospital falls after total knee arthroplasty[J]. Clin Orthop Relat Res, 2012, 470(1):244-249.
3. Younis J, Salerno G, Fanto D, et al. Focused preoperative patient stoma education, prior to ileostomy formation after anterior resection, contributes to a reduction in delayed discharge within the enhanced recovery programme[J]. Int J Colorectal Dis, 2012, 27(1):43-47.
4. Wetsch WA, Pircher I, Lederer W, et al. Preoperative stress and anxiety in day-care patients and inpatients undergoing fast-track surgery[J]. Br J Anaesth, 2009, 103(2):199-205.
5. Edward GM, Naald NV, Oort FJ, et al. Information gain in patients using a multimedia website with tailored information on anaesthesia[J]. Br J Anaesth, 2011, 106(3):319-324.
6. Van Vlymen JM, Sa Rego MM, White PF. Benzodiazepine premedication:can it improve outcome in patients undergoing breast biopsy procedures?[J]. Anesthesiology, 1999, 90(3):740-774.
7. Chia YY, Chan MH, Ko NH, et al. Role of beta-blockade in anaesthesia and postoperative pain management after hysterectomy[J]. Br J Anaesth, 2004, 93(6):799-805.
8. White PF, Eng M. Fast-track anesthetic techniques for ambulatory surgery[J]. Curr Opin Anaesthesiol, 2007, 20(6):545-557.
9. Shuying L, Xiao W, Peng L, et al. Preoperative intravenous parecoxib reduces length of stay on ambulatory laparoscopic cholecystectomy[J]. Int J Surg, 2014, 12(5):464-468.
10. Goresky GV, Maltby JR. Fasting guidelines for elective surgical patients[J]. Can J Anaesth, 1990, 37(5):493-495.
11. Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications[J]. Cochrane Database Syst Rev, 2003(4):CD004423.
12. Holte K, Nielsen KG, Madsen JL, et al. Physiologic effects of bowel preparation[J]. Dis Colon Rectum, 2004, 47(8):1397-1402.
13. Jung B, Lannerstad O, Pahlman L, et al. Preoperative mechanical preparation of the colon:the patient's experience[J]. BMC Surg, 2007, 7:5.
14. Guenaga KF, Matos D, Wille-Jorgensen P. Mechanical bowel preparation for elective colorectal surgery[J]. Cochrane Database Syst Rev, 2011(9):CD001544.
15. Akcaboy EY, Akcaboy ZN, Gogus N. Ambulatory inguinal herniorrhaphy:paravertebral block versus spinal anesthesia[J]. Minerva Anestesiol, 2009, 75(12):684-691.
16. Akcaboy EY, Akcaboy ZN, Gogus N. Comparison of paravertebral block versus fast-track general anesthesia via laryngeal mask airway in outpatient inguinal herniorrhaphy[J]. J Anesth, 2010, 24(5):687-693.
17. Hadzic A, Williams BA, Karaca PE, et al. For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia[J]. Anesthesiology, 2005, 102(5):1001-1007.
18. Mccartney CJ, Brull R, Chan VW, et al. Early but no long-term benefit of regional compared with general anesthesia for ambulatory hand surgery[J]. Anesthesiology, 2004, 101(2):461-467.
19. Standl T, Burmeister MA. Fast-track regional anaesthesia[J]. Curr Opin Anaesthesiol, 2000, 13(6):643-649.
20. Fredman B, Sheffer O, Zohar E, et al. Fast-track eligibility of geriatric patients undergoing short urologic surgery procedures[J]. Anesth Analg, 2002, 94(3):560-564.
21. Camci E, Koltka K, Celenk Y, et al. Bispectral index-guided desflurane and propofol anesthesia in ambulatory arthroscopy:comparison of recovery and discharge profiles[J]. J Anesth, 2006, 20(2):149-152.
22. Escallier KE, Nadelson MR, Zhou D, et al. Monitoring the brain:processed electroencephalogram and peri-operative outcomes[J]. Anaesthesia, 2014, 69(8):899-910.
23. Punjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index for improving anaesthetic delivery and postoperative recovery[J]. Cochrane Database Syst Rev, 2014(6):CD003843.
24. Zohar E, Luban I, White PF, et al. Bispectral index monitoring does not improve early recovery of geriatric outpatients undergoing brief surgical procedures[J]. Can J Anaesth, 2006, 53(1):20-25.
25. Nezhat C, Main J, Paka C, et al. Advanced gynecologic laparoscopy in a fast-track ambulatory surgery center[J]. JSLS, 2014, 18(3):e2014. 00291.
26. Gash KJ, Goede AC, Chambers W, et al. Laparoendoscopic single-site surgery is feasible in complex colorectal resections and could enable day case colectomy[J]. Surg Endosc, 2011, 25(3):835-840.
27. Vidal O, Pavel M, Valentini M, et al. Single-incision laparoscopic cholecystectomy for day surgery procedure:are we prepared?[J]. Am Surg, 2012, 78(4):436-943.
28. Baldini A, Golfier F, Mouloud K, et al. Day case laparoscopic nephrectomy with vaginal extraction:initial experience[J]. Urology, 2014, 84(6):1525-1528.
29. Elvir-Lazo OL, White PF. Postoperative pain management after ambulatory surgery:role of multimodal analgesia[J]. Anesthesiol Clin, 2010, 28(2):217-224.
30. Pergolizzi JV Jr, Taylor R Jr, Raffa RB. Intranasal ketorolac as part of a multimodal approach to postoperative pain[J]. Pain Pract, 2014:378-388.
31. Apfel CC, Roewer N. Risk assessment of postoperative nausea and vomiting[J]. Int Anesthesiol Clin, 2003, 41(4):13-32.
32. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery:Enhanced Recovery After Surgery (ERAS(R)) Society recommendations[J]. Clin Nutr, 2012, 31(6):783-800.
33. White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fast-track surgery:from multimodal analgesia to perioperative medical care[J]. Anesth Analg, 2007, 104(6):1380-1396.
34. Abdullah HR, Chung F. Postoperative issues:discharge criteria[J]. Anesthesiol Clin, 2014, 32(2):487-493.
35. Aldrete JA. The post-anesthesia recovery score revisited[J]. J Clin Anesth, 1995, 7(1):89-91.
36. Chung F. Recovery pattern and home-readiness after ambulatory surgery[J]. Anesth Analg, 1995, 80(5):896-902.
37. Twersky RS, Sapozhnikova S, Toure B. Risk factors associated with fast-track ineligibility after monitored anesthesia care in ambulatory surgery patients[J]. Anesth Analg, 2008, 106(5):1421-1426.

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麻醉醫師主導的快速康復技術在日間手術中的應用

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