日间手术麻醉规范化管理策略  

Standardized management strategy of anesthesia for Day Surgery

作　　者：孙德峰[1] SUN Defeng(Department of Anesthesiology,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学附属第一医院麻醉科,辽宁大连116011

出　　处：《实用医学杂志》2024年第3期283-288,共6页The Journal of Practical Medicine

基　　金：辽宁省教育厅2019年度科学研究经费项目(编号:LZ2019018)。

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。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.

关 键 词：日间手术 麻醉规范化管理 围术期疼痛 术后恶心呕吐 

分 类 号：R614[医药卫生—麻醉学]