择期结直肠手术围手术期护理指南：术后加速康复（ERAS）学会推荐意见：2018年版
Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018.
作者信息
Gustafsson U O, Scott M J, Hubner M, Nygren J, Demartines N, Francis N, Rockall T A, Young-Fadok T M, Hill A G, Soop M, de Boer H D, Urman R D, Chang G J, Fichera A, Kessler H, Grass F, Whang E E, Fawcett W J, Carli F, Lobo D N, Rollins K E, Balfour A, Baldini G, Riedel B, Ljungqvist O
机构信息
Department of Surgery, Danderyd Hospital and Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Department of Anesthesia, Virginia Commonwealth University Hospital, Richmond, VA, USA.
出版信息
World J Surg. 2019 Mar;43(3):659-695. doi: 10.1007/s00268-018-4844-y.
BACKGROUND
This is the fourth updated Enhanced Recovery After Surgery (ERAS) Society guideline presenting a consensus for optimal perioperative care in colorectal surgery and providing graded recommendations for each ERAS item within the ERAS protocol.
METHODS
A wide database search on English literature publications was performed. Studies on each item within the protocol were selected with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohorts and examined, reviewed and graded according to Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.
RESULTS
All recommendations on ERAS protocol items are based on best available evidence; good-quality trials; meta-analyses of good-quality trials; or large cohort studies. The level of evidence for the use of each item is presented accordingly.
CONCLUSIONS
The evidence base and recommendation for items within the multimodal perioperative care pathway are presented by the ERAS Society in this comprehensive consensus review.
背景
这是第四版更新后的《术后加速康复（ERAS）学会指南》，该指南针对结直肠手术围手术期的最佳护理提出了共识，并为ERAS方案中的每个ERAS项目提供了分级建议。
方法
对英文文献出版物进行了广泛的数据库检索。选择了方案中每个项目的研究，特别关注荟萃分析、随机对照试验和大型前瞻性队列研究，并根据推荐分级、评估、制定与评价（GRADE）系统进行审查和分级。
结果
所有关于ERAS方案项目的建议均基于现有最佳证据、高质量试验、高质量试验的荟萃分析或大型队列研究。相应地给出了每个项目使用的证据水平。
结论
ERAS学会在这份全面的共识综述中介绍了多模式围手术期护理路径中各项目的证据基础和建议。
Zotero 插件