Enhanced perioperative care in emergency general surgery: the WSES position paper.

IF 6 1区医学 Q1 EMERGENCY MEDICINE

World Journal of Emergency Surgery Pub Date : 2023-10-06 DOI:10.1186/s13017-023-00519-2

Marco Ceresoli, Marco Braga, Nicola Zanini, Fikri M Abu-Zidan, Dario Parini, Thomas Langer, Massimo Sartelli, Dimitrios Damaskos, Walter L Biffl, Francesco Amico, Luca Ansaloni, Zsolt J Balogh, Luigi Bonavina, Ian Civil, Enrico Cicuttin, Mircea Chirica, Yunfeng Cui, Belinda De Simone, Isidoro Di Carlo, Andreas Fette, Giuseppe Foti, Michele Fogliata, Gustavo P Fraga, Paola Fugazzola, Joseph M Galante, Solomon Gurmu Beka, Andreas Hecker, Johannes Jeekel, Andrew W Kirkpatrick, Kaoru Koike, Ari Leppäniemi, Ingo Marzi, Ernest E Moore, Edoardo Picetti, Emmanouil Pikoulis, Michele Pisano, Mauro Podda, Boris E Sakakushev, Vishal G Shelat, Edward Tan, Giovanni D Tebala, George Velmahos, Dieter G Weber, Vanni Agnoletti, Yoram Kluger, Gianluca Baiocchi, Fausto Catena, Federico Coccolini

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Abstract

Enhanced perioperative care protocols become the standard of care in elective surgery with a significant improvement in patients' outcome. The key element of the enhanced perioperative care protocol is the multimodal and interdisciplinary approach targeted to the patient, focused on a holistic approach to reduce surgical stress and improve perioperative recovery. Enhanced perioperative care in emergency general surgery is still a debated topic with little evidence available. The present position paper illustrates the existing evidence about perioperative care in emergency surgery patients with a focus on each perioperative intervention in the preoperative, intraoperative and postoperative phase. For each item was proposed and approved a statement by the WSES collaborative group.

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急诊普通外科围手术期加强护理：WSES立场文件。

强化围手术期护理方案成为择期手术的标准护理方案，显著改善了患者的预后。强化围手术期护理方案的关键要素是针对患者的多模式和跨学科方法，侧重于减少手术压力和改善围手术期恢复的整体方法。在急诊普通外科中加强围手术期护理仍然是一个有争议的话题，几乎没有证据。本立场文件阐述了有关急诊手术患者围手术期护理的现有证据，重点介绍了术前、术中和术后阶段的每一种围手术期干预措施。WSES协作小组针对每个项目提出并批准了一份声明。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Emergency Surgery EMERGENCY MEDICINE-SURGERY

CiteScore

14.50

自引率

5.00%

发文量

审稿时长

10 weeks

期刊介绍： The World Journal of Emergency Surgery is an open access, peer-reviewed journal covering all facets of clinical and basic research in traumatic and non-traumatic emergency surgery and related fields. Topics include emergency surgery, acute care surgery, trauma surgery, intensive care, trauma management, and resuscitation, among others.