欧洲妇科肿瘤ERAS指南-II2016

Gynecologic Oncology 140 (2016)323-332Contents lists available at ScienceDirect88889Gynecologic OncologyELSEVIERjournal homepage:www.elsevier.com/locate/ygynoSociety position statements/white papersGuidelines for postoperative care in gynecologic/oncology surgery:CrossMarkEnhanced Recovery After Surgery (ERASR)Societyrecommendations Part IIG.Nelson,A.D.Altman,A.NickLA.Meyer,P.T.Ramirez,C.Achtarid,J.AntrobusJ.Huang,M.ScottL Wijk',N.Acheson,0.Ljungqvist S.C.DowdyDepartment of Gynecologic Onalogy,Tom Baker Cancer Centre,Calgary,Alberta,CanadaDepartment of Otstetrics Gynecolgy and Reproductive Sdences,University of Manitoba.Winnipeg Manitoba CanadaDepartment of Gynealogic Oncology and Reproductive Medicine,The University of Texas MD Arderson Cancer Center,Houston,TX USADepartment ofAnesthesiology,Borders General Hospital Melrose.Roxburglshire,Unied KingdomAresthesiologists of Greater Oriando,Oriando,FL USADepartmert ofAnaesthesia and Intensive Care Medicine,Royal Surey County NHS Foundation Hospital,Egerton Road,Guildford,United KingdomSurrey Peri-operative Anaesthesin Critil Cre Research group (SPACeR)Clinical Academic Group.FHMS.University of Surrey.United KingdomDepartment of Obstetrics and Gynecology.Faculty of Medicine and Health,Orebro University,Orebro,SwedenDepartment of Gynaecologic Oncology,Royal Devon Exeter NHS Foundation Trst Exeter,United KingdomFacuty of Medicine and Health,School of Health and Medicl Scieres Department of Surgery.Orebro Universiry.Orebro,SwedenDivision of Gynecologic Surgery,Mayo Cliric College of Medicne,Rochester,MN,USAHIGHLIGHTSWe provide evidence supporting postoperative management of patients undergoing gynecologic/oncology surgery.This guideline will help integrate knowledge into practice,align perioperative care,and encourage future investigations.ARTICLE INFOABSTRACTArticle history:Received 24 September 20152016 The Authors.Published by Elsevier Inc.This is an open access article under the CC BY-NC-ND licenseReceived in revised fomm 14 December 2015(http://creativecommons.org/licenses/by-nc-nd/4.0/).Accepted 21 December 2015Availableonline 3 January 2016Keywards:Enhanced recovery after surgeryGynecdogic/oncologyEvidence based postoperative care1.Introductionmanagement.The goal of this article is to critically review existing evi-dence and make recommendations for elements of postoperative care.The "Guidelines for Pre-and Intra-operative Care in Gynecologic/This effort forms the basis of the ERAS Guideline for postoperativeOncology Surgery:Enhanced Recovery After Surgery (ERAS)Societycare in gynecologic/oncology surgery.Recommendations -Part I,"[1]examined the evidence surroundingcare elements including preoperative medical optimization,bowelpreparation,carbohydrate loading,thromboembolism prophylaxis,2.Methodsskin preparation,standard anesthetic protocol and intraoperative fluid2.1.Literature searcCorrespondingauthor at:Tom Baker Cancer Centre,1331 29th St NW,Calgary,AlbertaT2N 4N2,CanadaThe authors convened i