Enhanced recovery after elective colorectal surgery: now the standard of care

被引：3
|
作者：
Andrews, E. J. [1 ,2 ]
McCourt, M. [1 ,2 ]
O'Riordain, M. G. [1 ,2 ]
机构：
[1] Cork Univ Hosp, Dept Colorectal Surg, Cork, Ireland
[2] Mercy Univ Hosp, Dept Colorectal Surg, Cork, Ireland
来源：
IRISH JOURNAL OF MEDICAL SCIENCE | 2011年 / 180卷 / 03期
关键词：
Colorectal surgery; Enhanced recovery; Post-operative complications; Laparoscopic surgery; Colorectal cancer; Fast track surgery; RANDOMIZED CLINICAL-TRIAL; COLONIC RESECTION; PROGRAM;
D O I：
10.1007/s11845-011-0709-1
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Enhanced recovery programmes have been studied in randomised trials with evidence of quicker recovery of gut function, reduced morbidity, mortality and hospital stay and improved physiological and nutritional outcomes. They aim to reduce the physiological and psychological stress of surgery and consequently the uncontrolled stress response. The key elements, reduced pre-operative fasting, intravenous fluid restriction and early feeding after surgery, are in conflict with traditional management plans but are supported by strong clinical evidence. Given the strength of the current data enhanced recovery should now be the standard of care.
引用
收藏
页码：633 / 635
页数：3
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