实用医学杂志 ›› 2024, Vol. 40 ›› Issue (8): 1031-1037.doi: 10.3969/j.issn.1006-5725.2024.08.001

• 述评 •    

麻醉医师在日间手术全流程管理中的作用

梁鹏   

  1. 四川大学华西医院日间手术中心、麻醉手术中心 (成都 610041 )
  • 收稿日期:2023-07-12 出版日期:2024-04-25 发布日期:2024-04-19
  • 作者简介:梁鹏,博士,麻醉科主任医师,硕士研究生导师。现任四川大学华西医院日间手术中心主任,中国日间手术合作联盟副秘书长,中国心胸血管麻醉学会日间手术麻醉分会常务委员,四川省日间手术质量控制中心业务主任,四川省医学会日间手术专委会副主任委员,四川省预防医学会日间手术后管理分会副主任委员,四川省医师协会日间手术分会常务委员,四川省医学会麻醉专委会委员。
  • 基金资助:
    四川省中央引导地方科技发展专项项目(科技创新基地建设)(2023ZYD0168)

The role of anesthesiologists in the whole⁃process management of day surgery

Peng. LIANG   

  1. Day Surgery Center,Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China
  • Received:2023-07-12 Online:2024-04-25 Published:2024-04-19

摘要:

麻醉医师作为日间手术开展和全流程管理中的关键角色,在日间手术组织架构、运行管理和围术期质量控制等方面,都起到了积极的促进作用。作为日间病房和手术室的桥梁,麻醉医师需加入院级层面日间手术管理委员会或者相关组织,参与整个医院日间手术的统一管理和质控。通过建立规范化的术前麻醉评估制度,建设日间手术麻醉亚专业组,健全日间手术准入制度等措施,减少围术期麻醉相关风险,对优化全院手术资源配置与调度有重要意义。同时,制定日间手术麻醉质量控制指标,对进一步推动和完善日间手术质控指标体系构建具有积极作用。微观层面,基于个体化的加速康复外科(enhanced recovery after surgery, ERAS)措施,围绕多模式镇痛、多联术后恶心呕吐(postoperative nausea and vomitting, PONV)等管理策略,进一步落地和细化围术期麻醉管理流程和具体实施方案,促进日间手术患者快速康复。

关键词: 麻醉医师, 日间手术, 全流程管理, 术后加速康复

Abstract:

As the key role in the development of day surgery and the whole process management, anesthesiologists have played a positive role in promoting the organization and management of day surgery and perioperative quality control. As the bridge between day surgery wards and operating rooms, anesthesiologists need to join the hospital?level day surgery management committee or related organizations, and participate in the unified management and quality control of day surgery throughout the hospital. By establishing standardized anesthetic preoperative evaluation system, setting anesthetic subspecialty groups for day surgery, improving day surgery access system and other measures, we can reduce the risks associated with perioperative anesthesia, which is of great significance for optimizing the allocation and dispatching of surgical resources throughout the hospital. At the same time, formulating anesthetic quality control indicators for day surgery has a positive effect on further promoting and improving the construction of day surgery quality control indicators. At the micro level, based on individualized enhanced recovery after surgery (ERAS) measures, focusing on multi?modal analgesia, multi?drug postoperative nausea and vomiting (PONV) and other management strategies, further implementing and refining perioperative anesthesia management processes and specific implementation plans to promote rapid recovery of day surgery patients and discharge on time.

Key words: anesthesiologist, day surgery, full process management, postoperative accelerated rehabilitation

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