21th Century Perioperative Surgical Care: Enhanced Recovery After Surgery (ERAS)

yjshiwen

21th Century Perioperative Surgical Care: Enhanced Recovery After Surgery (ERAS)
21世纪围手术期的外科治疗：加强术后康复
Enhanced recovery After Surgery (ERAS) is a multimodal evidence-based  program of multidisciplinary perioperative surgical care. The goal of ERAS is to accelerate the recovery of surgical patients while decreasing complications and reducing hospital length of stay. Enhanced recovery after surgery is the 21th century perioperative surgical care model. In the United Kingdom, ERAS protocols are adapted as standard management of perioperative care.
加强术后康复（ERAS）是指：一种以证据为基础的多模式、多原则围术期外科治疗。ERAS的目标是以加快术后康复同时又降低术后并发症及术后住院天数，它是21世纪围术期的外科治疗模式。在英国，ERAS是标准的围术期治疗方案。
The underlying principle of ERAS is to enable patients to recover from surgery and leave hospital sooner by minimizing the stress responses on the body during surgery.
It is essential that  the patient is in the best possible preoperative condition for surgery, receives the best possible intraoperative management,  experiences the best post-operative recovery.
ERAS的基本原则是在确保患者能从手术后康复基础上，尽可能使患者手术过程中产生最小的应激反应，术后尽快出院。它的关键要素有：患者术前尽可能达到最佳的术前条件，术中尽可能接受最佳的术中管理，术后受受最佳的康复训练。
ERAS replaced the traditional perioperative surgical care with evidence-based best practices. ERAS is comprehensive in covering all areas of patient's journey through the whole surgical process (surgeon office, preadmission testing, preop, intraop, postop, post discharge). ERAS provides guidance to all involved in patient centered perioperative care, and helps them to work as a well-coordinated team to provide the best car