The new perspective of enhanced recovery after surgery in orthopedics_West China Medical Journal

Authors：

CHEN Jiali ,  NING Ning , QU Junhong , LI Peifang

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com

Keywords：

Orthopedics; Enhanced recovery after surgery; Opportunity and challenge

DOI：

10.7507/1002-0179.201809011

Video：

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Enhanced recovery after surgery (ERAS) has been carried out in many surgical fields such as orthopedics, galactophore, cardiothoracic surgery, gastrointestinal surgery, and obstetrics due to its standardized perioperative management process to reduce surgical stress and reduce surgical complications. After more than a decade of development, ERAS has achieved initial results. However, in China, the development of ERAS in orthopedic is still in its infancy. Most of the researches focus on the multidisciplinary management path of perioperative period. How to break through the existing bottlenecks is the key to accelerate the further development of rehabilitation. Therefore, this paper introduces the origin and development of ERAS, analyzes the challenges and opportunities of orthopedic ERAS in clinical advancement, proposes the important measures to promote the accelerated development of orthopedics, and provides new ideas for promoting the in-depth development of orthopedics accelerated rehabilitation.

Citation： CHEN Jiali, NING Ning, QU Junhong, LI Peifang. The new perspective of enhanced recovery after surgery in orthopedics. West China Medical Journal, 2018, 33(9): 1068-1072. doi: 10.7507/1002-0179.201809011 Copy

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6.	Selda R, Sacide YT. Analysis of enhanced recovery after surgery application in patients who received surgical intervention. OALib J, 2015, 14(1): 22-24.
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10.	Lassen K, Coolsen MM, Slim K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. World J Surg, 2013, 37(2): 240-258.
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15.	中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识 (2015 版). 中华普通外科学文献: 电子版, 2015, 9(5): 335-337.
16.	裴福兴. 加速康复外科是现代骨外科发展的趋势. 中国骨与关节杂志, 2017, 6(12): 881-882.
17.	国家卫生计生委公益性行业科研专项《关节置换术安全性与效果评价》项目组, 中华医学会骨科学分会关节外科学组, 中国医疗保健国际交流促进会骨科分会关节外科委员会. 中国髋、膝关节置换术加速康复—围术期管理策略专家共识. 中华骨与关节外科杂志, 2016, 9(1): 1-9.
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19.	陈佳丽, 宁宁, 李佩芳, 等. 协同创新在加速康复外科围手术期管理中的应用进展. 华西医学, 2017, 32(9): 1317-1319.
20.	荚卫东. 加速康复外科多学科团队建设. 中华外科杂志, 2018, 56(1): 14-17.
21.	车国卫, 刘伦旭, 周清华. 加速康复外科从理论到实践—我们还需要做什么?. 中国肺癌杂志, 2017, 20(4): 219-225.
22.	李楠. 信息不对称下医患信任机制的建立及保障研究. 东北财经大学, 2015.
23.	浙江大学医学院附属第一医院. 中国 ERAS 发展里程碑—国家卫生计生委医管中心加速康复外科专家委员会成立, 首届加速康复外科(ERAS)西湖论坛在杭州顺利举行. (2016-12-18)[2018-09-05]. https://mp.weixin.qq.com/s?__biz= MjM5NDQwNTIyMQ%3D%3D&chksm=be9751b689e0d8a0d92dc02482516fadfe37d404eb631082d1a79887bfa37ab42d824c5fc6c6&idx=1&mid=2649472956&scene=21&sn=a640e7e8a940456136ddca1205181948.
24.	姚梅, 宁宁, 李佩芳, 等. 加速康复外科在脊髓型颈椎病患者围手术期心理管理中的应用研究. 华西医学, 2017, 32(9): 1351-1354.
25.	屈俊宏, 宁宁, 李佩芳, 等. 脊柱外科入院患者情绪障碍调查研究. 华西医学, 2017, 32(9): 1347-1350.
26.	宁宁, 李佩芳, 屈俊宏, 等. 项目管理在脊柱骨折患者围手术期 DVT 防控中的效果研究. 中国护理管理, 2017, 17(11): 1445-1450.
27.	段丹, 宁宁, 李佩芳, 等. 加速康复外科下骨科患者围手术期深静脉血栓形成的预防及管理新进展. 华西医学, 2017, 32(9): 1358-1361.
28.	李佩芳, 宁宁, 刘欣, 等. 开胃汤对促进腰椎微创术后患者胃肠道功能恢复的效果研究. 华西医学, 2017, 32(9): 1324-1327.
29.	张馨予, 宁宁, 李佩芳, 等. 缩短术前禁食禁饮时间对腰椎间盘突出症微创手术患者的影响. 华西医学, 2017, 32(9): 1320-1323.

1. 车国卫. 加速肺康复外科临床实践及证据. 中国肺癌杂志, 2017, 20(6): 371-375.
2. 车国卫, 刘伦旭. 加速肺康复外科,需要精准治疗吗?. 中国肺癌杂志, 2017, 20(8): 549-554.
3. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
4. 陈凛, 陈亚进, 董海龙, 等. 加速康复外科中国专家共识及路径管理指南 (2018 版). 中国实用外科杂志, 2018, 38(1): 1-20.
5. Steenhagen E. Enhanced recovery after surgery: it’s time to change practice!. Nutr Clin Pract, 2016, 31(1): 18-29.
6. Selda R, Sacide YT. Analysis of enhanced recovery after surgery application in patients who received surgical intervention. OALib J, 2015, 14(1): 22-24.
7. Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Br J Surg, 2014, 101(10): 1209-1229.
8. Gustafsson UO, Scott MJ, Schwenk W. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS®) society recommendations. Clin Nutr, 2012, 31(6): 783-800.
9. Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. World J Surg, 2013, 37(2): 285-305.
10. Lassen K, Coolsen MM, Slim K, et al. Guidelines for perioperative care for pancreaticoduodenectomy: Enhanced Recovery After Surgery (ERAS®) Society recommendations. World J Surg, 2013, 37(2): 240-258.
11. Paton F, Chambers D, Wilson P, et al. Effectiveness and implementation of enhanced recovery after surgery programmes: a rapid evidence synthesis. BMJ Open, 2014, 4(7): e005015.
12. 黎介寿. 对 Fast-track Surgery(快通道外科) 内涵的认识. 中华医学杂志, 2007, 87(8): 515-517.
13. 江志伟, 黎介寿, 汪志明, 等. 胃癌患者应用加速康复外科治疗的安全性及有效性研究. 中华外科杂志, 2007, 45(19): 1314-1317.
14. 江志伟, 黎介寿. 我国加速康复外科的研究现状. 中华胃肠外科杂志, 2016, 19(3): 246-249.
15. 中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识 (2015 版). 中华普通外科学文献: 电子版, 2015, 9(5): 335-337.
16. 裴福兴. 加速康复外科是现代骨外科发展的趋势. 中国骨与关节杂志, 2017, 6(12): 881-882.
17. 国家卫生计生委公益性行业科研专项《关节置换术安全性与效果评价》项目组, 中华医学会骨科学分会关节外科学组, 中国医疗保健国际交流促进会骨科分会关节外科委员会. 中国髋、膝关节置换术加速康复—围术期管理策略专家共识. 中华骨与关节外科杂志, 2016, 9(1): 1-9.
18. 车国卫. 加速康复外科—人文 or 技术?. 中国肺癌杂志, 2018, 21(3): 168-172.
19. 陈佳丽, 宁宁, 李佩芳, 等. 协同创新在加速康复外科围手术期管理中的应用进展. 华西医学, 2017, 32(9): 1317-1319.
20. 荚卫东. 加速康复外科多学科团队建设. 中华外科杂志, 2018, 56(1): 14-17.
21. 车国卫, 刘伦旭, 周清华. 加速康复外科从理论到实践—我们还需要做什么?. 中国肺癌杂志, 2017, 20(4): 219-225.
22. 李楠. 信息不对称下医患信任机制的建立及保障研究. 东北财经大学, 2015.
23. 浙江大学医学院附属第一医院. 中国 ERAS 发展里程碑—国家卫生计生委医管中心加速康复外科专家委员会成立, 首届加速康复外科(ERAS)西湖论坛在杭州顺利举行. (2016-12-18)[2018-09-05]. https://mp.weixin.qq.com/s?__biz= MjM5NDQwNTIyMQ%3D%3D&chksm=be9751b689e0d8a0d92dc02482516fadfe37d404eb631082d1a79887bfa37ab42d824c5fc6c6&idx=1&mid=2649472956&scene=21&sn=a640e7e8a940456136ddca1205181948.
24. 姚梅, 宁宁, 李佩芳, 等. 加速康复外科在脊髓型颈椎病患者围手术期心理管理中的应用研究. 华西医学, 2017, 32(9): 1351-1354.
25. 屈俊宏, 宁宁, 李佩芳, 等. 脊柱外科入院患者情绪障碍调查研究. 华西医学, 2017, 32(9): 1347-1350.
26. 宁宁, 李佩芳, 屈俊宏, 等. 项目管理在脊柱骨折患者围手术期 DVT 防控中的效果研究. 中国护理管理, 2017, 17(11): 1445-1450.
27. 段丹, 宁宁, 李佩芳, 等. 加速康复外科下骨科患者围手术期深静脉血栓形成的预防及管理新进展. 华西医学, 2017, 32(9): 1358-1361.
28. 李佩芳, 宁宁, 刘欣, 等. 开胃汤对促进腰椎微创术后患者胃肠道功能恢复的效果研究. 华西医学, 2017, 32(9): 1324-1327.
29. 张馨予, 宁宁, 李佩芳, 等. 缩短术前禁食禁饮时间对腰椎间盘突出症微创手术患者的影响. 华西医学, 2017, 32(9): 1320-1323.

West China Medical Journal

The new perspective of enhanced recovery after surgery in orthopedics

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