An orthopaedic enhanced recovery pathway

Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-02-04 DOI:10.1016/j.cacc.2010.01.003

Tom Wainwright , Robert Middleton

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引用次数: 80

Abstract

The use of enhanced recovery pathways within elective surgery has increased in recent years but uptake outside of specialist centres is still slow, despite the growing evidence base to support their introduction. This article will briefly outline what is meant by an enhanced recovery pathway (ERP) and outline the central characteristics and features which make up an ERP. The procedural details and results of an orthopaedic ERP which has been used in 2391 consecutive hip and knee joint replacement patients at a NHS district general hospital within the United Kingdom will then be outlined.

The results of this unit illustrate that when a standardised, multi-disciplinary pathway is implemented and managed correctly, dramatic reductions to length of stay can be achieved. In combination, high levels of both staff and patient satisfaction are achieved along with good clinical outcomes. It is proposed that if such ways of working are implemented in other hospitals major economic and capacity savings could be realised at the same time as improving patient care.

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矫形强化康复途径

近年来，选择性手术中增强恢复途径的使用有所增加，但在专科中心以外的应用仍然缓慢，尽管越来越多的证据支持它们的引入。本文将简要概述增强恢复路径(ERP)的含义，并概述组成ERP的中心特征和特征。随后将概述在英国NHS地区综合医院2391例连续髋关节和膝关节置换术患者中使用的骨科ERP的程序细节和结果。本单元的结果表明，当一个标准化的、多学科的途径得到实施和正确管理时，可以实现大幅度减少停留时间。结合起来，高水平的工作人员和患者满意度以及良好的临床结果都得到了实现。有人建议，如果在其他医院实施这种工作方式，可以在改善病人护理的同时实现重大的经济和能力节约。

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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Current anaesthesia and critical care

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