Ускоренное выздоровление. Актуальность, история, патофизиология

Ускоренное выздоровление. Актуальность, история, патофизиология

Автор: Воробьев Владимир Анатольевич, Белобородов В.А., Тухиев А.Р.

Журнал: Экспериментальная и клиническая урология @ecuro

Рубрика: Организация урологической помощи

Статья в выпуске: 4 т.15, 2022 года.

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Введение. Программа ускоренного выздоровления (ПУВ), хирургия ускоренной реабилитации (Fast Track surgery - FTS), а также ускоренное восстановление после операции (enhanced recovery аfter surgery/rapid recovery after surgery - ERAS) - мультимодальная и мультидисциплинарная стратегия лечения, предназначенная для сокращения сроков нетрудоспособности и улучшения качества оказания медицинской помощи. Данная программа включает подготовку на предоперационном этапе, использование минимально инвазивной техники выполнения хирургического вмешательства и активное ведение послеоперационного периода с целью уменьшения сроков стационарного лечения, времени реабилитации и максимально быстрого возвращения пациентов к обычной жизни. Одним из ключевых факторов успешности ПУВ является внедрение мультидисциплинарного взаимодействия на всех этапах обследования и лечения. Кратко охарактеризована история развития программ ускоренного выздоровления, актуальность разработки и применения оптимизированной стратегии лечения, описаны проблемы интеграции, мультидисциплинарности. Представлен обзор особенностей патофизиологии периоперационного стресса и практические выводы, обосновывающие разработку и применение элементов программы ускоренного выздоровления.

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Протокол ускоренного выздоровления, ускоренное выздоровление, enhanced recovery а/ter surgery

Короткий адрес: https://sciup.org/142236645

IDR: 142236645   |   DOI: 10.29188/2222-8543-2022-15-4-10-17

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