Perioperative analgesia management standard for day surgery in West China Hospital of Sichuan University_West China Medical Journal

Authors：

FANG Lu , HUANG Mingjun , DAI Yan , MA Hongsheng ,  LIANG Peng

Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIANG Peng, Email: liangpeng@wchscu.cn

Keywords：

Day surgery; perioperative period; analgesia; management standard

DOI：

10.7507/1002-0179.202211013

Video：

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In recent years, day surgery has developed rapidly in China, but there is still a certain gap between domestic and international fields. The whole-process perioperative analgesia management standard is one of the necessities to ensure the rapid recovery and timely discharge of patients undergoing day surgery, and it is also an effective driving force to narrow the gap between domestic and international day surgery management. Based on the clinical experience of perioperative analgesia management for day surgery patients in West China Hospital of Sichuan University, this paper summarizes the implementation strategies, quality control of perioperative analgesia management and the construction of painless day surgery ward, and formulates the perioperative analgesia management standard for day surgery, which will provide a reference for the perioperative analgesia management for day surgery in China.

Citation： FANG Lu, HUANG Mingjun, DAI Yan, MA Hongsheng, LIANG Peng. Perioperative analgesia management standard for day surgery in West China Hospital of Sichuan University. West China Medical Journal, 2023, 38(2): 284-287. doi: 10.7507/1002-0179.202211013 Copy

1.	王琦, 夏曉丹, 平恩杰, 等. 普外科日間手術模式的應用效果分析. 中國基層醫藥, 2019, 26(17): 2101-2104.
2.	蔣麗莎, 宋應寒, 馬洪升. 中國日間手術未來發展愿景. 華西醫學, 2021, 36(2): 141-143.
3.	沈堅, 吳恵靜, 滕知軼. 日間手術質量安全管理: 上海市第一人民醫院的實踐. 中國衛生質量管理, 2018, 25(4): 4-5, 9.
4.	Liu C, Wang K, Chan Q, et al. Intravoxel incoherent motion MR imaging for breast lesions: comparison and correlation with pharmacokinetic evaluation from dynamic contrast-enhanced MR imaging. Eur Radiol, 2016, 26(11): 3888-3898.
5.	馬洪升. 日間醫療服務的展望. 華西醫學, 2016, 31(4): 601-602.
6.	Peng N, Li J. Application effect of case management mode combined with ERAS in elderly patients with hip fracture. Evid Based Complement Alternat Med, 2021, 2021: 1175020.
7.	Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
8.	蘇曼曼, 周陽. 術后疼痛管理研究進展. 護理研究, 2018, 32(17): 2669-2672.
9.	蔡紅芳. 快速康復外科理念結合中醫護理干預在婦科腹腔鏡圍手術期的應用. 齊齊哈爾醫學院學報, 2019, 40(2): 256-258.
10.	王偉, 吳清霞. 臨床疼痛管理研究進展. 護理學雜志, 2016, 31(4): 101-103.
11.	秦玲, 薛曉明. 患者疼痛管理研究進展. 中國護理管理, 2016, 16(1): 121-124.
12.	劉洋, 馬洪升, 李志超, 等. 日間腹腔鏡膽囊切除術臨床路徑的 PDCA 管理. 中國病案, 2016, 17(12): 35-37.
13.	陳霞, 朱斌. 加速術后康復理念用于心臟手術的實踐與展望. 臨床外科雜志, 2022, 30(6): 501-505.
14.	何利琴, 何鳳琴. 快速康復外科護理干預在婦科腹腔鏡手術的效果及對患者護理滿意度的影響. 中國藥物與臨床, 2019, 19(12): 2135-2137.
15.	任紅艷, 劉東英. 癌痛規范化護理在示范病房的應用效果. 臨床醫學, 2017, 37(12): 124-126.
16.	趙霞, 李小華, 劉曉輝. 無線鎮痛監控系統的原理與應用. 中國數字醫學, 2014, 9(3): 15-17.
17.	Gan TJ, Habib AS, Miller TE, et al. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin, 2014, 30(1): 149-160.
18.	Wang C, Xu R, Wang X, et al. Spinal CCL1/CCR8 regulates phosphorylation of GluA1-containing AMPA receptor in postoperative pain after tibial fracture and orthopedic surgery in mice. Neurosci Res, 2020, 154: 20-26.
19.	劉麗霞, 劉召瓊, 張靜, 等. 基于循證醫學理念的心理護理對四肢骨折患者情緒及預后的影響. 國際精神病學雜志, 2018, 45(3): 559-562.
20.	常丹, 吳煒, 郝粉娟, 等. 漸進性肌肉放松訓練對四肢骨折患者負性情緒及睡眠質量的影響. 護理學雜志, 2018, 33(21): 73-75.
21.	李健文, 樂飛. 老年腹股溝疝腹腔鏡治療策略. 中國實用外科雜志, 2018, 38(8): 876-880.
22.	李煒, 方芳, 周婷. 疼痛管理對腹腔鏡結腸癌根治術后早期康復的影響. 腹腔鏡外科雜志, 2020, 25(3): 214-217.
23.	Simpson JC, Bao X, Agarwala A. Pain management in enhanced recovery after surgery (ERAS) protocols. Clin Colon Rectal Surg, 2019, 32(2): 121-128.
24.	Kwanten LE, O’Brien B, Anwar S. Opioid-based anesthesia and analgesia for adult cardiac surgery: history and narrative review of the literature. J Cardiothorac Vasc Anesth, 2019, 33(3): 808-816.
25.	Grant MC, Isada T, Ruzankin P, et al. Opioid-sparing cardiac anesthesia: secondary analysis of an enhanced recovery program for cardiac surgery. Anesth Analg, 2020, 131(6): 1852-1861.
26.	Sofjan IP, McCutchan A. Anesthetic management for enhanced recovery after cardiac surgery (ERACS)//StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2022.
27.	Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the association of anaesthetists and the british association of day surgery. Anaesthesia, 2019, 74(6): 778-792.
28.	Barry GS, Bailey JG, Sardinha J, et al. Factors associated with rebound pain after peripheral nerve block for ambulatory surgery. Br J Anaesth, 2021, 126(4): 862-871.
29.	Makkar JK, Jain K, Kuberan A, et al. Pre-emptive multimodal analgesic regimen reduces post-operative epidural demand boluses in traumatic shaft of femur fracture - a randomised controlled trial. Indian J Anaesth, 2019, 63(11): 895-899.
30.	陳維, 黃明君, 戴燕. 多模式疼痛管理下日間手術患者術后疼痛的影響因素分析. 華西醫學, 2022, 37(2): 208-213.
31.	駱華杰, 賈昊, 陳涵, 等. 績效考核分配模式轉變在三級醫院日間手術結構調整中的意義及實踐. 中國醫院, 2015, 19(4): 26-28.

1. 王琦, 夏曉丹, 平恩杰, 等. 普外科日間手術模式的應用效果分析. 中國基層醫藥, 2019, 26(17): 2101-2104.
2. 蔣麗莎, 宋應寒, 馬洪升. 中國日間手術未來發展愿景. 華西醫學, 2021, 36(2): 141-143.
3. 沈堅, 吳恵靜, 滕知軼. 日間手術質量安全管理: 上海市第一人民醫院的實踐. 中國衛生質量管理, 2018, 25(4): 4-5, 9.
4. Liu C, Wang K, Chan Q, et al. Intravoxel incoherent motion MR imaging for breast lesions: comparison and correlation with pharmacokinetic evaluation from dynamic contrast-enhanced MR imaging. Eur Radiol, 2016, 26(11): 3888-3898.
5. 馬洪升. 日間醫療服務的展望. 華西醫學, 2016, 31(4): 601-602.
6. Peng N, Li J. Application effect of case management mode combined with ERAS in elderly patients with hip fracture. Evid Based Complement Alternat Med, 2021, 2021: 1175020.
7. Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
8. 蘇曼曼, 周陽. 術后疼痛管理研究進展. 護理研究, 2018, 32(17): 2669-2672.
9. 蔡紅芳. 快速康復外科理念結合中醫護理干預在婦科腹腔鏡圍手術期的應用. 齊齊哈爾醫學院學報, 2019, 40(2): 256-258.
10. 王偉, 吳清霞. 臨床疼痛管理研究進展. 護理學雜志, 2016, 31(4): 101-103.
11. 秦玲, 薛曉明. 患者疼痛管理研究進展. 中國護理管理, 2016, 16(1): 121-124.
12. 劉洋, 馬洪升, 李志超, 等. 日間腹腔鏡膽囊切除術臨床路徑的 PDCA 管理. 中國病案, 2016, 17(12): 35-37.
13. 陳霞, 朱斌. 加速術后康復理念用于心臟手術的實踐與展望. 臨床外科雜志, 2022, 30(6): 501-505.
14. 何利琴, 何鳳琴. 快速康復外科護理干預在婦科腹腔鏡手術的效果及對患者護理滿意度的影響. 中國藥物與臨床, 2019, 19(12): 2135-2137.
15. 任紅艷, 劉東英. 癌痛規范化護理在示范病房的應用效果. 臨床醫學, 2017, 37(12): 124-126.
16. 趙霞, 李小華, 劉曉輝. 無線鎮痛監控系統的原理與應用. 中國數字醫學, 2014, 9(3): 15-17.
17. Gan TJ, Habib AS, Miller TE, et al. Incidence, patient satisfaction, and perceptions of post-surgical pain: results from a US national survey. Curr Med Res Opin, 2014, 30(1): 149-160.
18. Wang C, Xu R, Wang X, et al. Spinal CCL1/CCR8 regulates phosphorylation of GluA1-containing AMPA receptor in postoperative pain after tibial fracture and orthopedic surgery in mice. Neurosci Res, 2020, 154: 20-26.
19. 劉麗霞, 劉召瓊, 張靜, 等. 基于循證醫學理念的心理護理對四肢骨折患者情緒及預后的影響. 國際精神病學雜志, 2018, 45(3): 559-562.
20. 常丹, 吳煒, 郝粉娟, 等. 漸進性肌肉放松訓練對四肢骨折患者負性情緒及睡眠質量的影響. 護理學雜志, 2018, 33(21): 73-75.
21. 李健文, 樂飛. 老年腹股溝疝腹腔鏡治療策略. 中國實用外科雜志, 2018, 38(8): 876-880.
22. 李煒, 方芳, 周婷. 疼痛管理對腹腔鏡結腸癌根治術后早期康復的影響. 腹腔鏡外科雜志, 2020, 25(3): 214-217.
23. Simpson JC, Bao X, Agarwala A. Pain management in enhanced recovery after surgery (ERAS) protocols. Clin Colon Rectal Surg, 2019, 32(2): 121-128.
24. Kwanten LE, O’Brien B, Anwar S. Opioid-based anesthesia and analgesia for adult cardiac surgery: history and narrative review of the literature. J Cardiothorac Vasc Anesth, 2019, 33(3): 808-816.
25. Grant MC, Isada T, Ruzankin P, et al. Opioid-sparing cardiac anesthesia: secondary analysis of an enhanced recovery program for cardiac surgery. Anesth Analg, 2020, 131(6): 1852-1861.
26. Sofjan IP, McCutchan A. Anesthetic management for enhanced recovery after cardiac surgery (ERACS)//StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2022.
27. Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the association of anaesthetists and the british association of day surgery. Anaesthesia, 2019, 74(6): 778-792.
28. Barry GS, Bailey JG, Sardinha J, et al. Factors associated with rebound pain after peripheral nerve block for ambulatory surgery. Br J Anaesth, 2021, 126(4): 862-871.
29. Makkar JK, Jain K, Kuberan A, et al. Pre-emptive multimodal analgesic regimen reduces post-operative epidural demand boluses in traumatic shaft of femur fracture - a randomised controlled trial. Indian J Anaesth, 2019, 63(11): 895-899.
30. 陳維, 黃明君, 戴燕. 多模式疼痛管理下日間手術患者術后疼痛的影響因素分析. 華西醫學, 2022, 37(2): 208-213.
31. 駱華杰, 賈昊, 陳涵, 等. 績效考核分配模式轉變在三級醫院日間手術結構調整中的意義及實踐. 中國醫院, 2015, 19(4): 26-28.

West China Medical Journal

Perioperative analgesia management standard for day surgery in West China Hospital of Sichuan University

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