Enhanced recovery after surgery (ERAS) and anesthesia

Yıl 2020, Cilt: 4 Sayı: 1, 95 - 101, 02.03.2020

Filiz Alkaya Solmaz , Pakize Kırdemir

https://doi.org/10.30565/medalanya.587027

Cited By: 3

Öz

ERAS (Enhanced Recovery After Surgery) is a multimodal approach which aims to optimize perioperative management. ERAS is a combination of changes in preoperative, intraoperative and postoperative care to reduce organ dysfunction and surgical stress response. This concept is managed by multidisciplinary teams that include various areas of expertise to minimize the patient’s surgical stress response, optimize physiological functions, and facilitate healing. In order to further increase these developments in various surgical specialties, protocols have been established on this subject and many health institutions offer their services in this way. With the use of ERAS protocols, perioperative and postoperative complications decreased, patient survival and quality of care improved, and patient satisfaction was significantly increased.

Anahtar Kelimeler

ERAS, Anesthesia, Surgery

Ameliyat Sonrası Geliştirilmiş İyileşme (ERAS) ve Anestezi

Öz

ERAS (Enhanced recovery after surgery) perioperatif yönetimi optimize etmeyi amaçlayan multimodal bir yaklaşımdır. ERAS, organ disfonksiyonunu ve cerrahi stres yanıtını azaltmak için preoperatif, intraoperatif ve postoperatif bakımdaki değişikliklerin bir bütünüdür. Bu kavram hastanın cerrahi stres yanıtını azaltmak, fizyolojik fonksiyonlarını düzeltmek ve iyileşmeyi kolaylaştırmak amacıyla çeşitli uzmanlık alanlarını içeren multidispliner ekipler tarafından yönetilir. Günümüzde değişik cerrahi uzmanlık alanlarında bu gelişmeleri daha da arttırmak amacıyla bu konu ile ilgili protokoller oluşturulmuş ve birçok sağlık kuruluşu hizmetlerini bu kavrama dayalı bir şekilde sunmaktadırlar. ERAS protokollerinin kullanımı ile periopetif ve postoperatif komplikasyonlarda azalma, hasta sağ kalımında ve bakım kalitesinde artış ve hasta memnuniyetinde belirgin gelişmeler sağlanmıştır.

Anahtar Kelimeler

ERAS, Anestezi, Cerrahi

Kaynakça

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