Ускоренное выздоровление. Предоперационная подготовка и преабилитация

Ускоренное выздоровление. Предоперационная подготовка и преабилитация

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

Журнал: Экспериментальная и клиническая урология @ecuro

Рубрика: Организация урологической помощи

Статья в выпуске: 1 т.16, 2023 года.

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Резюме: Fast Track surgery (FTS), а также ERAS (enhanced recovery аfter surgery/rapid recovery after surgery programs) или ПУВ (программа ускоренного выздоровления) - 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. В данной лекции рассмотрены особенности подготовки и преабилитации на предоперационном этапе выполнения программы ускоренного выздоровления. Выполнен обзор основных элементов стратегии: коррекция нарушений питания, углеводная загрузка, предоперационное обучение и проблемы мультидисциплинарного взаимодействия, саркопения, изменение образа жизни, фармакогеномики, коррекция анемии и предоперационное очищение кишечника. Преабилитация и предоперационная подготовка содружественно помогают подготовить пациента к хирургической операции и последующему восстановлению. Основными элементами подготовки являются обучение больного и персонала, мультидисциплинарное взаимодействие, коррекция сопутствующих соматических нарушений и заболеваний, оптимизация питания и изменение образа жизни.

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Протокол ускоренного выздоровления, ускоренное выздоровление, преабилитация, предоперационная подготовка

Короткий адрес: https://sciup.org/142238182

IDR: 142238182   |   DOI: 10.29188/2222-8543-2023-16-1-10-17

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