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推动麻醉学向围手术期医学转变:《加速康复外科中国专家共识及路径管理指南(2018版)》麻醉部分解读

王天龙,  黄宇光

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文章导航 > 协和医学杂志  > 2018 >  9(6): 481-484
王天龙, 黄宇光. 推动麻醉学向围手术期医学转变:《加速康复外科中国专家共识及路径管理指南(2018版)》麻醉部分解读[J]. 协和医学杂志, 2018, 9(6): 481-484. doi: 10.3969/j.issn.1674-9081.2018.06.001
引用本文: 王天龙, 黄宇光. 推动麻醉学向围手术期医学转变:《加速康复外科中国专家共识及路径管理指南(2018版)》麻醉部分解读[J]. 协和医学杂志, 2018, 9(6): 481-484. doi: 10.3969/j.issn.1674-9081.2018.06.001
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Tian-long WANG, Yu-guang HUANG. Campaigning for the Transformation from Anesthesiology to Perioperative Medicine: Interpretation on the Anesthesia Part of Consensus on ERAS and Guidelines for the Pathway Management in China (2018)[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(6): 481-484. doi: 10.3969/j.issn.1674-9081.2018.06.001
Citation: Tian-long WANG, Yu-guang HUANG. Campaigning for the Transformation from Anesthesiology to Perioperative Medicine: Interpretation on the Anesthesia Part of Consensus on ERAS and Guidelines for the Pathway Management in China (2018)[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(6): 481-484. doi: 10.3969/j.issn.1674-9081.2018.06.001
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推动麻醉学向围手术期医学转变:《加速康复外科中国专家共识及路径管理指南(2018版)》麻醉部分解读

doi: 10.3969/j.issn.1674-9081.2018.06.001
  • 1.

    首都医科大学宣武医院麻醉手术科, 北京 100053

  • 2.

    中国医学科学院 北京协和医学院 北京协和医院麻醉科, 北京 100730

基金项目: 

北京市医院管理局临床医学发展专项——"扬帆"计划 ZYLX201706

北京市医院管理局"登峰计划"专项 DFL20150820

详细信息
    通讯作者:

    黄宇光  电话:010-69152100，E-mail：garybeijing@163.com

  • 中图分类号: R459.4;R614

Campaigning for the Transformation from Anesthesiology to Perioperative Medicine: Interpretation on the Anesthesia Part of Consensus on ERAS and Guidelines for the Pathway Management in China (2018)

  • 1.

    Department of Anesthesiology and Operating Theater, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

  • 2.

    Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information

    摘要
  • 摘要: 《加速康复外科中国专家共识及路径管理指南(2018版)》的发布, 标志着中国在推进加速康复外科方面向前迈出了重要一步。对其麻醉部分进行解读对于麻醉医生更好地了解围手术期管理过程中的临床实践方法和管理路径具有重要指导价值。本文结合指南的麻醉部分, 对其关键内容进行了循证医学证据的深度挖掘, 从围手术期医学角度进一步明示麻醉学临床实践的未来发展方向。
    Abstract: As Consensus on ERAS and Guidelines for the Pathway Management in China (2018) was published, China has taken an important step forward in promoting the enhanced recovery protocol. The interpretation of its anesthesia part has an important guidance for anesthesiologists to better understand clinical practice methods and the pathway of perioperative management. The interpretation made a deep evidence-based exploration in the anesthesia-related core parts from the guideline, aiming to further disclose the direction of the development of clinical practice of anesthesiology in the near future from the vision of perioperative medicine.
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    • 参考文献(10)
  • [1] Ljungqvist O, Scott M, Fearon KC. Enhanced Recovery After Surgery:A Review[J].JAMA Surg, 2017, 152:292-298. doi:  10.1001/jamasurg.2016.4952
    [2] 中华医学会外科学分会, 中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志, 2018, 38:1-20. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsywkzz201801001
    [3] Liu VX, Rosas E, Hwang J, et al. Enhanced Recovery After Surgery Program Implementation in 2 Surgical Populations in an Integrated Health Care Delivery System[J]. JAMA Surg, 2017, 152:e171032. doi:  10.1001/jamasurg.2017.1032
    [4] Thanh NX, Chuck AW, Wasylak T, et al. An economic evaluation of the Enhanced Recovery After Surgery (ERAS) multisite implementation program for colorectal surgery in Alberta[J]. Can J Surg, 2016, 59:415-421. doi:  10.1503/cjs.006716
    [5] Ishii K, Makita T, Yamashita H, et al. Total intravenous anesthesia with propofol is associated with a lower rate of postoperative delirium in comparison with sevoflurane anesthesia in elderly patients[J]. J Clin Anesth, 2016, 33:428-431. doi:  10.1016/j.jclinane.2016.04.043
    [6] Li Y, Wang B, Zhang LL, et al. Dexmedetomidine Combined with General Anesthesia Provides Similar Intraoperative Stress Response Reduction When Compared with a Combined General and Epidural Anesthetic Technique[J]. Anesth Analg, 2016, 122:1202-1210. doi:  10.1213/ANE.0000000000001165
    [7] Richards JE, Hutchinson J, Mukherjee K, et al. Stress hyperglycemia and surgical site infection in stable nondiabetic adults with orthopedic injuries[J]. J Trauma Acute Care Surg, 2014, 76:1070-1075. doi:  10.1097/TA.0000000000000177
    [8] Feng S, Yang S, Xiao W, et al. Effects of perioperative goal-directed fluid therapy combined with the application of alpha-1 adrenergic agonists on postoperative outcomes:a systematic review and meta-analysis[J]. BMC Anesthesiology, 2018, 18:113. doi:  10.1186/s12871-018-0564-y
    [9] Watt DG Horgan PG, McMillan DC. Routine clinical markers of the magnitude of the systemic inflammatory response after elective operation:a systematic review[J]. Surgery, 2015, 157:362-380. doi:  10.1016/j.surg.2014.09.009
    [10] Srinivasa S, Tailor MH, Singh PP, et al. Randomized clinical trial of goal-directed fluid therapy within an enhanced recovery protocol for elective colectomy[J]. Br J Surg, 2013, 100:66-74. doi:  10.1002/bjs.8940
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出版历程
  • 收稿日期:  2018-08-29
  • 刊出日期:  2018-11-30

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