[0109] 2012ERAS-ESPEN-IASMEN擇期結(jié)腸手術(shù)圍術(shù)期護(hù)理指南
發(fā)布時間:2017-09-13 23:39:12    瀏覽量: 679
關(guān)鍵字:擇期結(jié)腸手術(shù),圍術(shù)期,護(hù)理,指南,胃管,液體管理,導(dǎo)尿,禁食,Perioperative care,colonic surgery,Nasogastric intubation
簡介:

Background: This review aims to present a consensus for optimal perioperative care in colonic surgery
and to provide graded recommendations for items for an evidenced-based enhanced perioperative
protocol.
Methods: Studies were selected with particular attention paid to meta-analyses, randomised controlled
trials and large prospective cohorts. For each item of the perioperative treatment pathway, available
English-language literature was examined, reviewed and graded. A consensus recommendation was
reached after critical appraisal of the literature by the group.
Results: For most of the protocol items, recommendations are based on good-quality trials or metaanalyses of good-quality trials (quality of evidence and recommendations according to the GRADE
system).
Conclusions: Based on the evidence available for each item of the multimodal perioperative-care
pathway, the Enhanced Recovery After Surgery (ERAS) Society, International Association for Surgical
Metabolism and Nutrition (IASMEN) and European Society for Clinical Nutrition and Metabolism (ESPEN)
present a comprehensive evidence-based consensus review of perioperative care for colonic surgery

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