摘要
为切实落实国家卫生健康委员会分级诊疗的政策,真正解决老百姓"看病难、住院难、手术迟"之医疗供需矛盾,探讨三级以上医院让经美国麻醉医师协会分级的Ⅲ级、Ⅳ级的患者(以下简称"Ⅲ级、Ⅳ级患者")得以开展日间手术的策略。结合工作经验,查阅文献发现,加强围术期评估和术后随访,以对患者进行闭环管理,可最大限度降低患者安全隐患;术后快速康复理念下多学科协作是使Ⅲ级、Ⅳ级患者得以顺利开展日间手术的基石;麻醉医生通过制定个体化麻醉方案为Ⅲ级、Ⅳ级患者开展日间手术提供安全保障。从而进一步说明Ⅲ级、Ⅳ级患者得以开展日间手术是个系统工程,需要医院众多科室协作努力,以满足人们对美好生活的向往。
In order to effectively implement the policy of grading diagnosis and treatment of the National Health Commission,to resolve contradiction between "limited medical resources" and "tremendous awaiting patients",this study explores strategies for American society of anesthesiologists(ASA)Ⅲ and Ⅳ patients to receive day surgery in tertiary medical institutions.With clinical experience and literature reviews,perioperative closed-loop evaluation,post-operation follow-up,and closed-loop management will significantly minimize risks.Multidisciplinary collaboration with enhanced recovery after surgery(ERAS)is the cornerstone for grade Ⅲ and Ⅳ patients to receive day surgery.Individualized anaesthesia management is a guarantee to day surgery for grade Ⅲ and Ⅳ patients.It is a systematic project to perform day surgery for grade Ⅲ and Ⅳ patients,which requires multidisciplinary collaboration to satisfy people’s yearning for a better life.
作者
袁梦
孙忠良
孙德峰
YUAN Meng;SUN Zhong-liang;SUN De-feng(Department of Anesthesiology,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)
出处
《医学与哲学》
2020年第8期68-70,共3页
Medicine and Philosophy
基金
2019年辽宁省教育厅科学研究经费项目(LZ2019018)。
关键词
三级以上医院
Ⅲ级、Ⅳ级患者
日间手术
术后快速恢复理念
麻醉医生
tertiary medical institution
ASA Ⅲ and Ⅳ patient
day surgery
concept of enhanced recovery after surgery
anesthesiologist
