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加速康复外科理念在神经外科围手术期麻醉管理中的应用

闫翔 曾敏 董佳 彭宇明 韩如泉

闫翔, 曾敏, 董佳, 彭宇明, 韩如泉. 加速康复外科理念在神经外科围手术期麻醉管理中的应用[J]. 协和医学杂志, 2019, 10(6): 615-620. doi: 10.3969/j.issn.1674-9081.2019.06.012
引用本文: 闫翔, 曾敏, 董佳, 彭宇明, 韩如泉. 加速康复外科理念在神经外科围手术期麻醉管理中的应用[J]. 协和医学杂志, 2019, 10(6): 615-620. doi: 10.3969/j.issn.1674-9081.2019.06.012
Xiang YAN, Min ZENG, Jia DONG, Yu-ming PENG, Ru-quan HAN. The Application of Enhanced Recovery after Surgery in Perioperative Anesthesia Management of Neurosurgery[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 615-620. doi: 10.3969/j.issn.1674-9081.2019.06.012
Citation: Xiang YAN, Min ZENG, Jia DONG, Yu-ming PENG, Ru-quan HAN. The Application of Enhanced Recovery after Surgery in Perioperative Anesthesia Management of Neurosurgery[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 615-620. doi: 10.3969/j.issn.1674-9081.2019.06.012

加速康复外科理念在神经外科围手术期麻醉管理中的应用

doi: 10.3969/j.issn.1674-9081.2019.06.012
基金项目: 

北京市医院管理局重点医学专业发展计划 ZYLX201708

北京市医院管理局"登峰"人才培养计划 DFL20180502

首都卫生发展科研专项项目 2018-2-2044

详细信息
    通讯作者:

    PENG Yu-ming Tel: 86-10-59976658, E-mail:florapym766@163.com

  • 中图分类号: R651

The Application of Enhanced Recovery after Surgery in Perioperative Anesthesia Management of Neurosurgery

  • 摘要: 加速康复外科(enhanced recovery after surgery, ERAS)理念已逐渐推广应用于很多外科手术, 使手术患者从中受益, 从而提高了患者满意度和医疗资源的利用效率。ERAS理念在神经外科领域的应用既有ERAS的普遍规律, 亦有神经外科围手术期管理的特殊性。本文重点总结并分析近年来神经外科ERAS的研究进展, 最终达到优化神经外科患者围手术期管理, 加速患者康复的目标。
    利益冲突  无
  • [1] Ljungqvist O. ERAS-enhanced recovery after surgery:moving evidence-based perioperative care to practice[J]. JPEN J Parenter Enteral Nutr, 2014, 38:559-566. https://pubmed.ncbi.nlm.nih.gov/24567343/
    [2] Sheshadri V, Venkatraghavan L, Manninen P, et al. Anesthesia for Same Day Discharge After Craniotomy:Review of a Single Center Experience[J]. J Neurosurg Anesthesiol, 2018, 30:299-304..
    [3] Zhou Y, Peng Y, Fang J, et al. Effect of low-dose ketamine on PerioperAtive depreSsive Symptoms in patients undergoing Intracranial tumOr resectioN (PASSION):study protocol for a randomized controlled trial[J]. Trials, 2018, 19:463. doi:  10.1186/s13063-018-2831-0
    [4] Randazzo DM, McSherry F, Herndon JE 2nd, et al. A cross sectional analysis from a single institution's experience of psychosocial distress and health-related quality of life in the primary brain tumor population[J]. J Neurooncol, 2017, 134:363-369. doi:  10.1007/s11060-017-2535-4
    [5] Hagan KB, Bhavsar S, Raza SM, et al. Enhanced recovery after surgery for oncological craniotomies[J]. J Clin Neurosci, 2016, 24:10-16. https://www.sciencedirect.com/science/article/pii/S0967586815004440
    [6] Jeraq M, Cote DJ, Smith TR. Venous Thromboembolism in Brain Tumor Patients[J]. Adv Exp Med Biol, 2017, 906:215-228. https://www.ncbi.nlm.nih.gov/pubmed/27628002
    [7] Algattas H, Damania D, De Andrea-Lazarus I, et al. Systematic Review of Safety and Cost-Effectiveness of Venous Thromboembolism Prophylaxis Strategies in Patients Undergoing Craniotomy for Brain Tumor[J]. Neurosurgery, 2018, 82:142-154. https://academic.oup.com/neurosurgery/article/82/2/142/3574143
    [8] Morita T, Kita T, Masada K, et al.[The Influence of Preoperative Oral Carbohydrate Administration on Perioperative Blood Sugar Levels and Patients' Satisfaction[J]. Masui, 2016, 65:583-589.
    [9] Zhu AC, Agarwala A, Bao X. Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway[J]. Clin Colon Rectal Surg, 2019, 32:114-120. https://www.ncbi.nlm.nih.gov/pubmed/30833860
    [10] American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults. American Geriatrics Society abstracted clinical practice guideline for postoperative delirium in older adults[J]. J Am Geriatr Soc, 2015, 63:142-150. https://pubmed.ncbi.nlm.nih.gov/25495432/
    [11] Vadivelu N, Kai AM, Tran D, et al. Options for perioperative pain management in neurosurgery[J]. J Pain Res, 2016, 9:37-47.
    [12] Gunter A, Ruskin KJ. Intraoperative neurophysiologic monitoring:utility and anesthetic implications[J]. Curr Opin Anaesthesiol, 2016, 29:539-543. https://www.ncbi.nlm.nih.gov/pubmed/27380045
    [13] Chan MT, Cheng BC, Lee TM, et al. BIS-guided anesthesia decreases postoperative delirium and cognitive decline[J]. J Neurosurg Anesthesiol, 2013, 25:33-42. https://pubmed.ncbi.nlm.nih.gov/23027226/
    [14] Berger M, Schenning KJ, Brown CH 4th, et al. Best Practices for Postoperative Brain Health:Recommendations From the Fifth International Perioperative Neurotoxicity Working Group[J]. Anesth Analg, 2018, 127:1406-1413. https://pubmed.ncbi.nlm.nih.gov/30303868/
    [15] Liu N, Chazot T, Mutter C, et al. Elevated burst suppression ratio:the possible role of hypoxemia[J]. Anesth Analg, 2006, 103:1609-1610.
    [16] de-Lima-Oliveira M, Salinet ASM, Nogueira RC, et al. Intracranial Hypertension and Cerebral Autoregulation:A Systematic Review and Meta-Analysis[J]. World Neurosurg, 2018, 113:110-124. https://www.sciencedirect.com/science/article/pii/S1878875018302377
    [17] Wesselink EM, Kappen TH, Torn HM, et al. Intraoperative hypotension and the risk of postoperative adverse outcomes:a systematic review[J]. Br J Anaesth, 2018, 121:706-721. https://www.sciencedirect.com/science/article/pii/S0007091218303763
    [18] Silverman A, Kodali S, Strander S, et al. Deviation From Personalized Blood Pressure Targets Is Associated With Worse Outcome After Subarachnoid Hemorrhage[J]. Stroke, 2019:50:2729-2737.
    [19] Rock AK, Opalak CF, Workman KG, et al. Safety Outcomes Following Spine and Cranial Neurosurgery:Evidence From the National Surgical Quality Improvement Program[J]. J Neurosurg Anesthesiol, 2018, 30:328-336. https://www.ncbi.nlm.nih.gov/pubmed/29135700
    [20] de Jong MAC, Ladha KS, Vidal Melo MF, et al. Differential Effects of Intraoperative Positive End-expiratory Pressure (PEEP) on Respiratory Outcome in Major Abdominal Surgery Versus Craniotomy[J]. Ann Surg, 2016, 264:362-369. https://reference.medscape.com/medline/abstract/26496082
    [21] Brandi G, Stocchetti N, Pagnamenta A, et al. Cerebral metabolism is not affected by moderate hyperventilation in patients with traumatic brain injury[J]. Crit Care, 2019, 23:45. doi:  10.1186%2Fs13054-018-2304-6.pdf
    [22] Ruggieri F, Beretta L, Corno L, et al. Feasibility of Protective Ventilation During Elective Supratentorial Neurosurgery:A Randomized, Crossover, Clinical Trial[J]. J Neurosurg Anesthesiol, 2018, 30:246-250. https://pubmed.ncbi.nlm.nih.gov/28671879/
    [23] Yi J, Lei Y, Xu S, et al. Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia:National study in China[J]. PLoS One, 2017, 12:e0177221. https://www.ncbi.nlm.nih.gov/pubmed/28594825
    [24] Rolston JD, Han SJ, Lau CY, et al. Frequency and predictors of complications in neurological surgery:national trends from 2006 to 2011[J]. J Neurosurg, 2014, 120:736-745. https://thejns.org/view/journals/j-neurosurg/120/3/article-p736.xml
    [25] Kalra R, Arora G, Patel N, et al. Targeted Temperature Management After Cardiac Arrest:Systematic Review and Meta-analyses[J]. Anesth Analg, 2018, 126:867-875. https://experts.umn.edu/en/publications/targeted-temperature-management-after-cardiac-arrest-systematic-r
    [26] Raiman M, Mitchell CG, Biccard BM, et al. Comparison of hydroxyethyl starch colloids with crystalloids for surgical patients:A systematic review and meta-analysis[J]. Eur J Anaesthesiol, 2016, 33:42-48. https://pubmed.ncbi.nlm.nih.gov/26351826/
    [27] Seo H, Kim E, Jung H, et al. A prospective randomized trial of the optimal dose of mannitol for intraoperative brain relaxation in patients undergoing craniotomy for supratentorial brain tumor resection[J]. J Neurosurg, 2017, 126:1839-1846. doi:  10.3171/2016.6.JNS16537
    [28] Witherspoon B, Ashby NE. The Use of Mannitol and Hypertonic Saline Therapies in Patients with Elevated Intracranial Pressure:A Review of the Evidence[J]. Nurs Clin North Am, 2017, 52:249-260. https://reference.medscape.com/medline/abstract/28478873
    [29] Shao L, Hong F, Zou Y, et al. Hypertonic saline for brain relaxation and intracranial pressure in patients undergoing neurosurgical procedures:a meta-analysis of randomized controlled trials[J]. PLoS One, 2015, 10:e0117314. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311961/
    [30] Som A, Maitra S, Bhattacharjee S, et al. Goal directed fluid therapy decreases postoperative morbidity but not mortality in major non-cardiac surgery:a meta-analysis and trial sequential analysis of randomized controlled trials[J]. J Anesth, 2017, 31:66-81. doi:  10.1007/s00540-016-2261-7
    [31] Daniel R, Villuri S, Furlong K. Management of hyperglyce-mia in the neurosurgery patient[J]. Hosp Pract (1995), 2017, 45:150-157.
    [32] Gruenbaum SE, Toscani L, Fomberstein KM, et al. Severe Intraoperative Hyperglycemia Is Independently Associated With Postoperative Composite Infection After Craniotomy:An Observational Study[J]. Anesth Analg, 2017, 125:556-561.
    [33] Biancari F, Giordano S. Glycated Hemoglobin and the Risk of Sternal Wound Infection After Adult Cardiac Surgery:A Systematic Review and Meta-Analysis[J]. Semin Thorac Cardiovasc Surg, 2019, 31:465-467.
    [34] Thangavelu R, Ventakesh RR, Ravichandran K. Comparison of Effect of Airway Nebulization with Lignocaine 2% versus Ropivacaine 0.25% on Intubation and Extubation Response in Patients Undergoing Surgery under General Anesthesia:A Randomized Double-Blind Clinical Trial[J]. Anesth Essays Res, 2018, 12:338-343. https://www.researchgate.net/publication/5994172_Airway_topicalisation_in_morbidly_obese_patients_using_atomised_lidocaine_2_compared_with_4
    [35] Kwon JH, Shin YH, Gil NS, et al. Effect-site concentration of remifentanil for smooth emergence from sevoflurane anesthesia in patients undergoing endovascular neurointervention[J]. PLoS One, 2019, 14:e0218074.
    [36] Kim JH, Ham SY, Kim DH, et al. Efficacy of Single-Dose Dexmedetomidine Combined with Low-Dose Remifentanil Infusion for Cough Suppression Compared to High-Dose Remifentanil Infusion:A Randomized, Controlled, Non-Inferiority Trial[J]. Int J Med Sci, 2019, 16:376-383. https://www.ncbi.nlm.nih.gov/pubmed/30911271
    [37] Dunn LK, Naik BI, Nemergut EC, et al. Post-Craniotomy Pain Management:Beyond Opioids[J]. Curr Neurol Neurosci Rep, 2016, 16:93. doi:  10.1007/s11910-016-0693-y
    [38] Vacas S, Van de Wiele B. Designing a pain management protocol for craniotomy:A narrative review and consideration of promising practices[J]. Surg Neurol Int, 2017, 8:291.
    [39] Tsaousi GG, Pourzitaki C, Bilotta F. Prophylaxis of postoperative complications after craniotomy[J]. Curr Opin Anaesthesiol, 2017, 30:534-539.
    [40] Hellickson JD, Worden WR, Ryan C, et al. Predictors of Postoperative Nausea and Vomiting in Neurosurgical Patients[J]. J Neurosci Nurs, 2016, 48:352-357. https://www.ncbi.nlm.nih.gov/pubmed/27824804
    [41] Asmussen S, Maybauer DM, Chen JD, et al. Effects of Acupuncture in Anesthesia for Craniotomy:A Meta-Analysis[J]. J Neurosurg Anesthesiol, 2017, 29:219-227. https://core.ac.uk/display/84154845
    [42] Viken HH, Iversen IA, Jakola A, et al. When Are Complications After Brain Tumor Surgery Detected?[J]. World Neurosurg, 2018, 112:e702-e710.
    [43] Wang Y, Liu B, Zhao T, et al. Safety and efficacy of a novel neurosurgical enhanced recovery after surgery protocol for elective craniotomy:a prospective randomized controlled trial[J]. J Neurosurg, 2018. doi: 10.3171/2018.1.JNS171552.[Epub ahead of print].
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  • 收稿日期:  2019-04-29
  • 刊出日期:  2019-11-30

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