Enhanced recovery after cesarean delivery:a challenge for anesthesiologists  

作　　者：Zhi-Qiang Liu Wei-Jia Du Shang-Long Yao 

机构地区：[1]Department of Anesthesiology,Shanghai First Maternity and Infant Hospital,Tongji University School of Medicine,Shanghai 201204,China [2]Tongji University School of Medicine,Shanghai 200092,China [3]Department of Anesthesiology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China

出　　处：《Chinese Medical Journal》2020年第5期590-596,共7页中华医学杂志（英文版）

基　　金：supported by the grants from the Science and Technology Commission of Shanghai Municipality(Nos.16411967400,19401930500);from Pudong New Area Municipal Commission of Health and Family Planning(No.PW2016D-10).

摘　　要：Enhanced recovery after cesarean(ERAC)delivery is an evidence-based,multi-disciplinary approach throughout pre-,intra-,postoperative period.The ultimate goal of ERAC is to enhance recovery and improve the maternal and neonatal outcomes.This review highlights the role of anesthesiologist in ERAC protocols.This review provided a general introduction of ERAC including the purposes and the essential elements of ERAC protocols.The tool used for evaluating the quality of ERAC(ObsQoR-11)was discussed.The role of anesthesiologist in ERAC should cover the areas including management of peri-operative hypotension,prevention and treatment of intra-and post-operative nausea and vomiting,prevention of hypothermia and multi-modal perioperative pain management,and active pre-operative management of unplanned conversion of labor analgesia to cesarean delivery anesthesia.Although some concerns still remain,ERAC implementation should not be delayed.Regular assessment and process improvement should be imbedded into the protocol.Further high-quality studies are warranted to demonstrate the effectiveness and efficacy of the ERAC protocol.

关 键 词：CESAREAN delivery CESAREAN SECTION Enhanced recovery AFTER SURGERY 

分 类 号：R614[医药卫生—麻醉学] R719.8[医药卫生—外科学]