日归手术麻醉的规范化管理

Standardized management of anesthesia in same-day surgery

在日归手术模式下,为了最大程度保障患者安全、消除医疗隐患、践行加速康复外科理念、实现舒适化诊疗,麻醉医生发挥了举足轻重的作用,规范化麻醉管理流程是为患者保驾护航的关键。根据《日间手术麻醉专家共识》的原则性建议,结合国内外日归手术的麻醉经验,并通过实践反复修正,大连医科大学附属第一医院逐渐探索出全面、严谨、规范的日归手术麻醉管理流程。该文从日归手术麻醉评估流程、术前准备、术中麻醉规范化管理、术后疼痛管理、术后并发症的防治方面对该院的日归手术麻醉规范化管理流程进行了介绍。

Under the same-day surgery mode,anesthesiologists play an important role in ensuring patient safety,eliminating medical risks,practicing the concept of enhanced recovery after surgery,and realizing comfortable diagnosis and treatment,and a standardized anesthesia management process is the key to protect patients.Based on the principled suggestions in The Consensus of Chinese Experts on Anaesthesia for Day Surgery,combined with the advanced management experience of day surgery anesthesia at home and abroad,and repeatedly revised through practice,a comprehensive,rigorous,and standardized anesthesia management process for same-day surgery was gradually explored by the First Affiliated Hospital of Dalian Medical University.This paper introduces the process from the aspects of procedure of anesthesia evaluation in same-day surgery,preoperative preparation,standardized intraoperative anesthesia management,postoperative pain management,and prevention and treatment of postoperative complications.