Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Hướng dẫn Chăm sóc Ngoại khoa trong Phẫu thuật Đại tràng/Chậu Elective: Khuyến nghị của Hiệp hội Phục hồi Nhanh Sau Phẫu thuật (ERAS®)
Tóm tắt
Bài tổng quan này nhằm mục đích trình bày sự đồng thuận về chăm sóc tối ưu trong giai đoạn trước, trong và sau phẫu thuật đối với phẫu thuật đại tràng/chậu, và cung cấp các khuyến nghị phân loại cho các tiêu chí nhằm xây dựng một giao thức phục hồi nâng cao dựa trên bằng chứng. Các nghiên cứu được lựa chọn với sự chú ý đặc biệt đến các phân tích gộp, các thử nghiệm ngẫu nhiên có đối chứng và các nhóm nghiên cứu lớn theo chiều dọc. Đối với mỗi tiêu chí trong quy trình điều trị ngoại khoa, tài liệu tiếng Anh có sẵn đã được xem xét, đánh giá và phân loại. Một khuyến nghị đồng thuận đã được đạt được sau khi nhóm thực hiện đánh giá nghiêm ngặt văn liệu. Đối với hầu hết các tiêu chí trong giao thức, các khuyến nghị được dựa trên các thử nghiệm có chất lượng tốt hoặc các phân tích gộp của các thử nghiệm có chất lượng tốt (cấp độ bằng chứng: cao hoặc trung bình). Dựa trên bằng chứng có sẵn cho từng tiêu chí trong quy trình chăm sóc ngoại khoa đa phương thức, Hiệp hội Phục hồi Nhanh Sau Phẫu thuật (ERAS), Hiệp hội Dinh dưỡng Lâm sàng và Chuyển hóa Châu Âu (ESPEN) và Hiệp hội Quốc tế về Chuyển hóa và Dinh dưỡng Phẫu thuật (IASMEN) trình bày một đánh giá đồng thuận toàn diện dựa trên bằng chứng về chăm sóc ngoại khoa trong phẫu thuật đại tràng.
Từ khóa
#Chăm sóc ngoại khoa #Phẫu thuật đại tràng #Phục hồi sau phẫu thuật #Hiệp hội ERAS #Lâm sàngTài liệu tham khảo
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