Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
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DOI：
10.1007/s00268-012-1772-0
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发表时间：
2013-02-01
影响因子：
2.6
通讯作者：
Ljungqvist, O.
中科院分区：
文献类型：
--
作者：
Gustafsson, U. O.;Scott, M. J.;Ljungqvist, O.
本综述旨在就结肠手术最佳围手术期护理达成共识，并为基于证据的增强围手术期方案提供分级建议。研究的选择特别注重荟萃分析、随机对照试验和大型前瞻性队列。对于围手术期治疗路径的每个项目，都对现有的英语文献进行了检查、回顾和评分。小组对文献进行严格评估后达成共识建议。对于大多数方案项目，建议基于高质量试验或高质量试验的荟萃（根据 GRADE 系统的证据质量和建议）。基于多模式围手术期护理路径每一项的可用证据，加速康复外科 (ERAS) 协会、国际外科代谢和营养分析协会 (IASMEN) 和欧洲临床营养和代谢协会 (ESPEN) 提出结肠手术围手术期护理的全面循证共识审查。
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.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.For most of the protocol items, recommendations are based on good-quality trials or meta-analyses of good-quality trials (quality of evidence and recommendations according to the GRADE system).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.