ERAS
stands
for
Enhanced
Recovery
After
Surgery
采用有循证医学证据的围手术期处理的一系列优化措施：
营养镇痛
力手术
能下床活动
为
行
能
功
禁食、卧床休息
……
天周
其本人被誉为“快速康复外科”之父
KehletH.BrJAnaesth1997;78606-17.
OlleLjungqvist.JParenterEnteralNutr.XXXX;XX:xx-xx
VaradhanKK,etal.ClinicalNutrition29(2010)434–440
GustafssonUO,etal.ArchSurg.2011;146(5):571-577
13,800例
7,200例
2000年2009年
10-11天
The
number
of
performed
primary
unilateral
THA
and
TKA
has
increased
from
around
7,200
in
2000
to
13,800
in
2009
with
a
concomitant
reduction
in
LOS
from
median
10-11
days
in
2000
to
4
days
in
2009.
ArchOrthop.TraumaSurg.2012;132(1):101-4.
CarliF,etal.MinervaAnestesiol.2011Feb;77(2):227-30.
OderdaG.Pharmacotherapy.2012;32(9Suppl):6S-11S.
ScottMJ,etal.ActaAnaesthesiolScand.2015;59(10):1212-31.
Kehlet,H,etal:AnnSurg;2008;248:189-98
J.B.Stamboughetal.TheJournalofArthroplasty.2015;30:521-526
LocalandRegionalAnesthesia2014:717–22
Surgery.2011;149:830-40.
Anesthesiology2003;98:151–5
CurrentOpinioninAnaesthesiology2006,
–
Kissin,I.Anesthesiology.93(4):1138-1143.
截肢
髋关节置换
膝关节置换
10
8)
6痛觉超敏
(对正常情况下的无痛
4刺激感到疼痛)
2
0
ZemmelMH.AANAJ.2006;74(1):49-60.