心臓血管外科領域
本邦での心臓血管外科領域におけるERASの報告が少ない中, われわれは積極的にERAS管理を行い, 術後早期回復の指標として早期食事開始, 離床, 退院の結果は得られた. しかし, Postoperative fatigueをいかになくすかという観点から見た際に, 現状ではどれくらいのを効果が得られたかの客観的な指標を示すことができていない. またさまざまな介入項目の効果などについての報告はあるものの, 一定の見解が得られていない項目が多い. 現状では以上のようなERASの問題点が存在しており, 今後は解剖し検証していることが必要になってくると考える....
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Published in | 外科と代謝・栄養 Vol. 55; no. 6; pp. 234 - 237 |
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Main Authors | , , |
Format | Journal Article |
Language | Japanese |
Published |
日本外科代謝栄養学会
15.12.2021
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Subjects | |
Online Access | Get full text |
ISSN | 0389-5564 2187-5154 |
DOI | 10.11638/jssmn.55.6_234 |
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Abstract | 本邦での心臓血管外科領域におけるERASの報告が少ない中, われわれは積極的にERAS管理を行い, 術後早期回復の指標として早期食事開始, 離床, 退院の結果は得られた. しかし, Postoperative fatigueをいかになくすかという観点から見た際に, 現状ではどれくらいのを効果が得られたかの客観的な指標を示すことができていない. またさまざまな介入項目の効果などについての報告はあるものの, 一定の見解が得られていない項目が多い. 現状では以上のようなERASの問題点が存在しており, 今後は解剖し検証していることが必要になってくると考える. |
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AbstractList | 本邦での心臓血管外科領域におけるERASの報告が少ない中, われわれは積極的にERAS管理を行い, 術後早期回復の指標として早期食事開始, 離床, 退院の結果は得られた. しかし, Postoperative fatigueをいかになくすかという観点から見た際に, 現状ではどれくらいのを効果が得られたかの客観的な指標を示すことができていない. またさまざまな介入項目の効果などについての報告はあるものの, 一定の見解が得られていない項目が多い. 現状では以上のようなERASの問題点が存在しており, 今後は解剖し検証していることが必要になってくると考える. |
Author | 竹前, 彰人 立石, 渉 常川, 勝彦 |
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References | 10) 立石, 渉, 岡田修一, 中野清治ほか: 心臓手術における適切なドレーン留置期間の検討. 日外感染症会誌 15: 162‐166, 2018 9) Hebeler KR, Baumgarten H, Squiers JJ et al.: Albumin is predictive of 1‐year mortality after transcatheter aortic valve replacement. Ann Thorac Surg 106: 1302‐1307, 2018 11) Tatsuishi W, Sato T, Kataoka G et al.: High‐Flow Nasal Cannula Therapy With Early Extubation for Subjects Undergoing Off‐Pump Coronary Artery Bypass Graft Surgery. Respir Care 65: 183‐190, 2020 8) Koh LY, Hwang NC: Frailty in cardiac surgery. J Cardiothorac Vasc Anesth 33: 521‐531, 2019 6) Baxter R, Squiers J, Conner W et al.: Enhanced Recovery After Surgery:A Narrative Review of its Application in Cardiac Surgery. Ann Thorac Surg 109: 1937‐1944, 2020 12) Fillinger MP, Rassias AJ, Guyre PM et al.: Glucocorticoid effects on the inflammatory and clinical responses to cardiac surgery. J Cardiothorac Vasc Anesth 16: 163‐169, 2020 7) Williams JB, McConnell G, Allender JE et al.: One‐year results from the first US‐based Enhanced Recovery after Cardiac Surgery (ERAS Cardiac) program. J Thorac Cardiovasc Surg 157: 1881‐1888, 2019 1) Fearon KC, Ljungqvist O, Von Meyenfeldt M et al.: Enhanced Recovery After Surgery Society:A consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 24: 466‐477, 2005 2) Melloul E, Lassen K, Roulin D et al.: Guidelines for Perioperative Care for Pancreatoduodenectomy:Enhanced Recovery After Surgery (ERAS) Recommendations 2019. World J Surg 44: 2056‐2084, 2020 5) Engelman DT, Ben Ali W, Williams JB et al.: Guidelines for Perioperative Care in Cardiac Surgery:Enhanced Recovery After Surgery Society Recommendations. JAMA Surg 154: 755‐766, 2019 13) Wang EHZ, Sunderland S, Edwards NY et al.: A Single Prophylactic Dose of Ondansetron Given at Cessation of Postoperative Propofol Sedation Decreases Postoperative Nausea and Vomiting in Cardiac Surgery Patients:A Randomized Controlled Trial. Anesth Analg 131: 1164‐1172, 2020 4) Brindle M, Nelson G, Lobo DN et al.: Recommendations from the ERAS® Society for standards for the development of enhanced recovery after surgery guidelines. BJS Open 4: 157‐163, 2020 3) Haliburton B, Goobie SM, Nelson G: Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery:Enhanced Recovery After Surgery (ERAS®) Society Recommendations. World J Surg 44: 2482‐2492, 2020 |
References_xml | – reference: 4) Brindle M, Nelson G, Lobo DN et al.: Recommendations from the ERAS® Society for standards for the development of enhanced recovery after surgery guidelines. BJS Open 4: 157‐163, 2020 – reference: 3) Haliburton B, Goobie SM, Nelson G: Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery:Enhanced Recovery After Surgery (ERAS®) Society Recommendations. World J Surg 44: 2482‐2492, 2020 – reference: 13) Wang EHZ, Sunderland S, Edwards NY et al.: A Single Prophylactic Dose of Ondansetron Given at Cessation of Postoperative Propofol Sedation Decreases Postoperative Nausea and Vomiting in Cardiac Surgery Patients:A Randomized Controlled Trial. Anesth Analg 131: 1164‐1172, 2020 – reference: 5) Engelman DT, Ben Ali W, Williams JB et al.: Guidelines for Perioperative Care in Cardiac Surgery:Enhanced Recovery After Surgery Society Recommendations. JAMA Surg 154: 755‐766, 2019 – reference: 9) Hebeler KR, Baumgarten H, Squiers JJ et al.: Albumin is predictive of 1‐year mortality after transcatheter aortic valve replacement. Ann Thorac Surg 106: 1302‐1307, 2018 – reference: 12) Fillinger MP, Rassias AJ, Guyre PM et al.: Glucocorticoid effects on the inflammatory and clinical responses to cardiac surgery. J Cardiothorac Vasc Anesth 16: 163‐169, 2020 – reference: 10) 立石, 渉, 岡田修一, 中野清治ほか: 心臓手術における適切なドレーン留置期間の検討. 日外感染症会誌 15: 162‐166, 2018 – reference: 7) Williams JB, McConnell G, Allender JE et al.: One‐year results from the first US‐based Enhanced Recovery after Cardiac Surgery (ERAS Cardiac) program. J Thorac Cardiovasc Surg 157: 1881‐1888, 2019 – reference: 2) Melloul E, Lassen K, Roulin D et al.: Guidelines for Perioperative Care for Pancreatoduodenectomy:Enhanced Recovery After Surgery (ERAS) Recommendations 2019. World J Surg 44: 2056‐2084, 2020 – reference: 1) Fearon KC, Ljungqvist O, Von Meyenfeldt M et al.: Enhanced Recovery After Surgery Society:A consensus review of clinical care for patients undergoing colonic resection. Clin Nutr 24: 466‐477, 2005 – reference: 6) Baxter R, Squiers J, Conner W et al.: Enhanced Recovery After Surgery:A Narrative Review of its Application in Cardiac Surgery. Ann Thorac Surg 109: 1937‐1944, 2020 – reference: 11) Tatsuishi W, Sato T, Kataoka G et al.: High‐Flow Nasal Cannula Therapy With Early Extubation for Subjects Undergoing Off‐Pump Coronary Artery Bypass Graft Surgery. Respir Care 65: 183‐190, 2020 – reference: 8) Koh LY, Hwang NC: Frailty in cardiac surgery. J Cardiothorac Vasc Anesth 33: 521‐531, 2019 |
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Snippet | 本邦での心臓血管外科領域におけるERASの報告が少ない中, われわれは積極的にERAS管理を行い, 術後早期回復の指標として早期食事開始, 離床, 退院の結果は得られた. しかし, Postoperative fatigueをいかになくすかという観点から見た際に,... |
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SubjectTerms | ERAS ESSENSE 心臓血管外科 |
Title | 心臓血管外科領域 |
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