Nörocerrahi ve Eras (Enhanced Recovery After Surgery)

Year 2020, Volume: 29 Issue: 1, 37 - 50, 31.03.2020

Ebru Biricik , Yasemin Güneş

https://doi.org/10.17827/aktd.604717

Cited By: 2

Abstract

ERAS (Enhanced Recovery After Surgery) protokolleri, hasta sonuçlarının iyileştirilmesi, komplikasyon oranlarının azalması, daha kısa yatış süresi ve önemli oranda maliyet tasarrufu sağlamaktadır. ERAS yaklaşımları ilk önce major karın ameliyatlarında çalışılmıştır; günümüzde bu protokoller beyin cerrahisi operasyonu geçiren hastalara da uygulanmaktadır. Ameliyat öncesi hastanın değerlendirilmesi, perioperatif yönetim ve postoperatif dönemi birlikte kapsayan bir protokoldür. Gerek cerrahi hazırlık, gerek hastaların bilgilendirilmesi, gerekse anestezi yönetimi ERAS protokollerinin bir parçasıdır. Elektif spinal veya kranial cerrahi hastalarında optimizasyonun sağlanması ve ERAS protokollerinin kullanılması post-operatif morbidite ve mortaliteyi minimize etmeye yardımcı olacaktır. Bu derlemede hem spinal cerrahi operasyonlarda hem de kraniyotomi operasyonlarında ERAS protokollerinin yeri tartışılmıştır.

Keywords

ERAS, Nörocerrahi, omurga cerrahisi

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