Enhanced Recovery in Surgical Intensive Care: A Review.
Enhanced Recovery in Surgical Intensive Care: A Review.
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DOI：
10.3389/fmed.2018.00256
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发表时间：
2018
影响因子：
3.9
通讯作者：
Lukić-Šarkanović M
中科院分区：
文献类型：
--
作者：
Jovanović G;Jakovljević DK;Lukić-Šarkanović M
患者在急诊和择期手术后进入外科重症监护室（SICU）。择期手术后，需要进一步支持或管理共存的合并症。在手术中实施ERAS（术后增强恢复）方案应减少对ICU床位的需求，但术后总会出现不可预测的并发症。这需要个人管理。我们可以为ICU中的手术患者做些什么来进一步促进他们的康复？为了促进外科重症监护室（SICU）的早期强化恢复，需要解决三个方面的问题：镇静、镇痛和谵妄。应制定这三个领域的衡量工具和管理协议，以确保每个SICU都有最佳做法。第四个重要方面是营养。SICU还需要开展术前筛查和术后营养状况测量。第五个重要领域是早期动员。ERAS协议鼓励早期动员危重患者，即使是机械通气。早期动员是可能的，应该由专门的多学科ICU团队实施。所有团队成员都必须熟悉协议，以便能够在其专业领域实施这些协议。个人和专业态度对执行至关重要。我们所有努力的核心应该是病人及其福祉。
Patients are admitted to the surgical intensive care (SICU) unit after emergency and elective surgery. After elective surgery, for further support, or to manage coexisting comorbidities. The implementation of the ERAS (Enhanced recovery after surgery) protocols in surgery should decrease the need for ICU beds, but there will always be unpredicted complications after surgery. These will require individual management. What we can do for our surgical patients in ICU to further enhance their recovery? To promote early enhanced recovery in surgical intensive care—SICU, three areas need to be addressed, sedation, analgesia, and delirium. Tools for measurement and protocols for management in these three areas should be developed to ensure best practice in each SICU. The fourth important area is Nutrition. Preoperative screening and post-operative measurement of the state of nutrition also need to be developed in the SICU. The fifth important area is early mobilization. ERAS protocols encourage early mobilization of the critically ill patients, even if on mechanical ventilation. Early mobilization is possible and should be implemented by special multidisciplinary ICU team. All team members must be familiar with protocols to be able to implement them in their field of expertise. Personal and professional attitudes are critical for implementation. In the core of all our efforts should be the patient and his well-being.
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影响因子：
8
作者：
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通讯作者：
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影响因子：
4
作者：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1046/j.1532-5415.2003.51509.x
发表时间：
2003-11-01
影响因子：
6.3
作者：
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通讯作者：
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