青少年特发性脊柱侧凸手术后加强康复护理路径:改善疗效的围手术期策略。

IF 1.9 Q3 CLINICAL NEUROLOGY
Brain & spine Pub Date : 2024-08-31 eCollection Date: 2024-01-01 DOI:10.1016/j.bas.2024.103326
Ph Creyf, N Parisi, S Munting, M Caudron, R Rossillon, Ch Detrembleur, Munting E
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引用次数: 0

摘要

介绍:AIS手术会产生较高的炎症应激反应,这可能会影响围手术期的结果。术后强化恢复(ERAS)是一个全球性的多学科护理路径,旨在改善患者的恢复情况:本文的目的是揭示本院 AIS 手术的实际 ERAS 方案,并将其与早期的非 ERAS 管理进行比较。我们的主要结果是术后 30 天和 90 天的再住院率和并发症发生率。我们的次要结果是住院期间的吗啡总用量、疼痛评分和副作用:我们将 ERAS 组(2019-2022 年)的结果与之前现有的经典护理路径(2017-2019 年)进行了比较。数据收集于我们的标准医疗档案中:结果:我们的ERAS护理路径对AIS手术的VAS评分、吗啡消耗量、LOS、并发症和再次住院率等方面的结果均有改善:鞘内吗啡和 "抗炎 "麻醉提供了良好的疼痛管理质量,并允许病人早起。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhanced recovery after adolescent idiopathic scoliosis surgery care pathway: Perioperative strategy to improve outcome.

Intro: AIS surgery generates a high inflammatory stress response which might influence the outcome in the perioperative period. Enhanced Recovery After Surgery (ERAS) is a global multidisciplinary care pathway aimed to improve patient's recovery.

Research question: The purpose of this article is to expose our actual ERAS protocol for AIS surgery and compare it with the earlier non ERAS management in our institution.Our primary outcome focus on the re-hospitalisation and complications rates at 30 and 90 days postoperatively. Our secondary outcomes focus on the overall morphine consumption, pain scores and side effects during the hospitalisation.

Material: We compare the results of the ERAS group (2019-2022) with the previous existing classical care pathway (2017-2019). The data were collected in our standard medical files.

Results: Our ERAS care pathway for AIS surgery lead to consequently improve the outcome regarding the VAS scores, the morphine consumption, the LOS and the complication and re hospitalisation rates.

Discussion: Regarding our results, ERAS care pathway for AIS surgery appears to be efficient in terms of benefits on complications rates, LOS and opioid consumption.Intrathecal morphine and "anti-inflammatory" anaesthesia provides a good quality of pain management and allows the patient to get up early.A superiority trial might be interesting to highlight the role of the ERAS pathway in AIS surgery.

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来源期刊
Brain & spine
Brain & spine Surgery
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
71 days
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