加速康复外科理念下的麻醉管理

Anesthesia management under the guidance of enhanced recovery after surgevy concept

加速康复外科(ERAS)理念目前被广泛应用于临床外科各个专业。ERAS可有效地降低术后并发症发生率、促进患者术后康复以及缩短住院时间,使得越来越多的手术患者因此获益。优化围术期管理是ERAS的核心,良好的围术期麻醉管理是ERAS重要的组成部分,术前宣教与评估、术中生命体征的监测、术中体温和液体管理、术后镇痛与并发症防治等措施在ERAS进程中发挥着重要作用。随着ERAS理念的不断发展和完善,对麻醉管理也提出进一步的要求和挑战。

Enhanced recovery after surgery(ERAS)is now widely used in various surgical disciplines.ERAS can effectively reduce the incidence of postoperative complications,improve recovery of patients and shorten the length of hospital stay.Therefore,more and more patients have benefited from it.Currently ERAS is becoming an important force to promote the development of perioperative medicine.Optimizing perioperative management is the core of ERAS,which requires multidisciplinary cooperation.Recent years,anesthesia medicine has gradually shifted to perioperative medicine,and anesthesiologists play an important role in the ERAS process,including preoperative education and evaluation,perioperative monitoring,postoperative analgesia,and prevention of complications.With the advances of ERAS concept,further requirements and challenges are raised for anesthesia management.