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2020年欧洲加速康复外科协会《新生儿肠道手术围术期监护共识指南》解读

Interpretation to " Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery" by European Enhanced Recovery after Surgery Society in 2020

摘要:

2020年5月8日,欧洲加速康复外科(enhanced recovery after surgery,ERAS)协会首次发布了《新生儿肠道手术围术期监护共识指南》,该指南针对新生儿肠切除手术提供了17条ERAS建议,内容涵盖术式选择、预防性应用抗生素、防止术中体温过低、围术期液体管理、镇痛、最优血红蛋白阈值、围术期沟通、家长的参与、术后早期营养护理和肠液回输10个方面。该指南旨在为新生儿肠道外科提出ERAS建议以减少围术期不良事件,提高医疗质量及家属满意度。现对其进行解读,以期为我国新生儿外科的围术期管理实践提供最新的指南依据。

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abstracts:

On May 8, 2020, for the first time, European enhanced recovery after surgery(ERAS) society lunched Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery, that provided 17 suggestions for intestinal resection surgery, including the selection of surgical method, the application of prophylactic antibiotics, the prevention of intraoperative hypothermia, perioperative fluid management, perioperative pain management, optimal hemoglobin, perioperative communication, parents involvement, postoperative nutrition care and mucous fistula refeeding.The guideline aims to recommend ERAS advices for neonatal intestinal surgery, so as to reduce perioperative adverse events, and improve medical quality as well as family satisfaction.Now, in order to provide the latest evidence-based information for the perioperative management practice of neonatal surgery in China, the author interpreted it.

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作者: 王恬 [1] 刘晓宇 [1] 陆海英 [1] 陈茹 [2]
作者单位: 上海中医药大学护理学院 201203 [1] 上海中医药大学附属光华中西医结合医院手术室 200052 [2]
期刊: 《中华实用儿科临床杂志》2020年35卷19期 1451-1455页 ISTICPKUCA
栏目名称: 指南解读
DOI: 10.3760/cma.j.cn101070-20200526-00891
发布时间: 2020-11-16
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