2. Three important contents of 2.era: nutritional support during operation; Liquid therapy; Pain control.
3. Based on evidence-based medical evidence, ERAS aims at reducing the physiological and psychological trauma stress response of surgical patients, and optimizes the clinical pathway of perioperative management through multidisciplinary cooperation such as surgery, anesthesia, nursing and nutrition, reducing perioperative stress response and postoperative complications, shortening hospitalization time and promoting patients' rehabilitation.
This optimized clinical pathway runs through the whole treatment process before hospitalization, before surgery, during surgery, after surgery and after discharge, and its core is to emphasize the patient-centered diagnosis and treatment concept.
4. The research shows that the implementation of ERAS-related pathway can improve the safety and satisfaction of patients during perioperative period, reduce the postoperative hospitalization time by 30%, and thus reduce the medical expenses, without increasing the incidence of postoperative complications and re-hospitalization.
Extended data:
1. According to different patients, cards, multimedia, exhibition boards and other forms are used to introduce the perioperative diagnosis and treatment processes such as anesthesia, surgery and postoperative treatment, so as to relieve their anxiety, fear and nervousness, make patients know their important role in this plan, and gain the understanding and cooperation of patients and their families, including eating early after surgery and getting out of bed early.
2. The patient's body temperature should be monitored routinely during the operation until after the operation, and the central body temperature of the patient should be maintained at not less than 36℃ with the help of heating mattress, pressurized air heating (heater) or circulating water heating system and blood transfusion heating device.
3. Fluid therapy is an important part of perioperative treatment for surgical patients. Its purpose is to maintain hemodynamic stability to ensure organ and tissue perfusion, maintain electrolyte balance, and correct fluid imbalance and abnormal distribution.
4. Research shows that fluid therapy can affect the prognosis of surgical patients. It is necessary to avoid insufficient tissue perfusion and organ function damage caused by low blood volume, and pay attention to tissue edema caused by excessive volume load. Advocate the concept of goal-oriented liquid therapy, and formulate and implement reasonable liquid therapy programs according to different treatment purposes, disease States and stages.
5. It is recommended to use multimodal analgesia (multimodal? The analgesic (MMA) program aims at: (1) effective exercise pain control [visual analogue scale (VAS)≤3]. (2) The incidence of adverse reactions related to analgesia is low. (3) Promote the early postoperative recovery of intestinal function of patients, and ensure early oral eating and early field activities after operation.
References:
Baidu Academic-Guide to Knowledge and Path Management of Chinese Accelerated Rehabilitation Surgery Specialists 20 18