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Review
. 2017 Apr 20;20(4):219-225.
doi: 10.3779/j.issn.1009-3419.2017.04.01.

[Enhanced Recovery after Surgery from Theory to Practice What do We Need to Do?]

[Article in Chinese]
Guowei Che  1 , Lunxu Liu  1 , Qinghua Zhou  2
Affiliations
Review

[Enhanced Recovery after Surgery from Theory to Practice What do We Need to Do?]

[Article in Chinese]
Guowei Che et al. Zhongguo Fei Ai Za Zhi. .

Abstract
in English, Chinese

Enhanced recovery after surgery (ERAS) is a paradigm shift in perioperative care, resulting in substantial improvements in clinical outcomes, shorter length of hospital stay and cost savings. But the current ERAS either by application of breadth or depth is not enough, why? The main reason is the lack of "operability, evaluation, repetition" ERAS protocol and suitable for clinical extensive application protocol. How to form the clinical available protocol? Operational mainly refers to the clinical scheme is simple and feasible, and protocol compliance is good; Evaluate refers to the methods used before, during and after are the objective evaluation criteria and plan; Repeatable is clinical scheme repeatability in the process of single or multiple center.

加速康复外科（enhanced recovery after surgery, ERAS）的临床实践已有充分的证据改变了外科手术的结果，缩短住院日并节约费用。但是目前ERAS无论是被应用的广度还是深度却远远不够，原因何在呢？我们分析可能主要原因是缺少"可操作、可评估、可重复"的临床方案。可操作主要是指临床方案简单易行，团队和患者依从性均好；可评估是指方案应用前、中、后均有客观评估标准及处理方案；可重复是临床方案在本单位及推广过程中重复性好。.

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Figures

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问题导向的ERAS研究方案 The ERAS protocol established from question. ERAS: enhanced recovery after surgery
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肺康复方案及流程（四川大学华西医院胸外科） Pulmonary rehabilitation scheme and process (Department of Thoracic Surgery, West China Hospital, Sichuan University). CPET: cardio-pulmonary exercise test; PEF: peak expiratory flow; FEV1: forced expiratory volume in one second.
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ERAS方案流程优化之尿管管理 Optimization of catheter management in ERAS program
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“个体化”ERAS方案可评估性 "Individualized" ERAS program and evaluation
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ERAS方案的形成与验证流程 The formation and validation of the ERAS program
See this image and copyright information in PMC

References

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