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日间手术麻醉规范化管理策略

  • 孙德峰
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  • 大连医科大学附属第一医院麻醉科 (辽宁 大连 116011 )
孙德峰,美国耶鲁大学访问学者,主任医师,教授,博士研究生导师,大连医科大学附属第一医院金普院区麻醉科主任、医院日间手术中心管理委员会副主任。中华医学会麻醉学分会日间手术麻醉学组副组长,中国心胸血管麻醉学会常务理事、日间手术麻醉分会主任委员,中国日间手术合作联盟常务理事,中国研究型医院学会麻醉学专委会常务委员,中国中西医结合学会围手术期专委会委员,辽宁省医学会加速康复外科分会副主任委员、麻醉学组组长,辽宁省医学会疼痛学分会及麻醉学分会常委,大连市医师协会麻醉学医师分会候任主任委员,大连市医学会麻醉学专科分会副主任委员,国家卫健委医院管理研究所“日间医疗发展模式与管理评价体系研究项目” 特聘专家、主席成员。《实用医学杂志》、《中国内镜杂志》等多家杂志编委或审稿专家。对老年患者术后认知功能、急慢性疼痛诊疗及日间手术麻醉有较深入的研究。主持省级课题4项、市级课题1项,主导及参与撰写专家共识或指南6部,获得实用新型专利5项,主编论著3部。发表SCI论文11篇、中文核心期刊论文近70篇。

收稿日期: 2023-09-11

  网络出版日期: 2024-02-22

基金资助

辽宁省教育厅2019年度科学研究经费项目(LZ2019018)

Standardized management strategy of anesthesia for Day Surgery

  • Defeng SUN
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  • Department of Anesthesiology,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China

Received date: 2023-09-11

  Online published: 2024-02-22

摘要

日间手术具有床位周转快、患者满意度高、医疗费用少、院内感染率低等优势,是目前国内外大力探索和发展的一种手术模式。安全是日间手术开展的底线,舒适是日间手术的核心追求,二者的保障均离不开对高质量的围术期麻醉管理。因此,在快速周转的日间手术模式下,本文就如何实施规范化的麻醉管理策略,分别从日间手术麻醉临床路径的制定、硬件设施以及人员的配备,麻醉术前评估与术前准备,麻醉方式的选择,围术期疼痛管理,术后恶心呕吐(postoperative nausea and vomiting,PONV)管理,麻醉后监测治疗,术后随访几方面加以阐述。

本文引用格式

孙德峰 . 日间手术麻醉规范化管理策略[J]. 实用医学杂志, 2024 , 40(3) : 283 -288 . DOI: 10.3969/j.issn.1006-5725.2024.03.001

Abstract

Day surgery has the advantages of fast turnover of beds, high patient satisfaction, low medical cost and low nosocomial infection rate, which is a kind of surgical mode vigorously explored and developed at home and abroad. Safety is the bottom line of day surgery, comfort is the core pursuit of day surgery, both of which cannot be guaranteed without high?quality perioperative anesthesia management. Therefore, under the fast?turnover day surgery mode, this paper focus on how to implement standardized anesthesia management strategies from the aspects of the formulation of clinical anesthesia pathways, facilities and personnel allocation, pre?anesthesia evaluation and preoperative preparation, anesthesia type selection, perioperative pain management, postoperative nausea and vomiting management, post?anesthesia monitoring and treatment, and postoperative follow?up.

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