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中华普通外科学文献(电子版) ›› 2022, Vol. 16 ›› Issue (02) : 146 -150. doi: 10.3877/cma.j.issn.1674-0793.2022.02.013

综述

加速康复外科理念下围手术期疼痛管理在日间腹腔镜阑尾切除术中的应用
高晋鸿1, 郝少龙1, 刘勇1, 韩威1, 翁以炳2,()   
  1. 1. 101100 首都医科大学附属北京潞河医院普通外科
    2. 101100 首都医科大学附属北京潞河医院重症医学科
  • 收稿日期:2021-12-21 出版日期:2022-04-01
  • 通信作者: 翁以炳
  • 基金资助:
    北京市通州区科委科技创新专项项目(KJ2021CX008-22); 北京市通州区科技计划项目(KJ2021CX008-24)

Application of perioperative pain management under the concept of enhanced recovery after surgery in ambulatory laparoscopic appendectomy

Jinhong Gao1, Shaolong Hao1, Yong Liu1, Wei Han1, Yibing Weng2,()   

  1. 1. Department of General Surgery, the Affiliated Beijing Luhe Hospital to the Capital University of Medical Sciences, Beijing 101100, China
    2. Department of Intensive Care Unit, the Affiliated Beijing Luhe Hospital to the Capital University of Medical Sciences, Beijing 101100, China
  • Received:2021-12-21 Published:2022-04-01
  • Corresponding author: Yibing Weng
引用本文:

高晋鸿, 郝少龙, 刘勇, 韩威, 翁以炳. 加速康复外科理念下围手术期疼痛管理在日间腹腔镜阑尾切除术中的应用[J/OL]. 中华普通外科学文献(电子版), 2022, 16(02): 146-150.

Jinhong Gao, Shaolong Hao, Yong Liu, Wei Han, Yibing Weng. Application of perioperative pain management under the concept of enhanced recovery after surgery in ambulatory laparoscopic appendectomy[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2022, 16(02): 146-150.

近年来,加速康复外科(ERAS)理念得到了较为迅速的普及和应用。急性阑尾炎是普通外科的常见病,腹腔镜阑尾切除术(LA)已成为首选的治疗方式,围手术期疼痛管理对患者的快速康复非常重要。通过术前宣教、术前及术后良好的疼痛评估、个性化的镇痛方案等规范化的流程可取得良好的镇痛效果,促进患者快速康复,契合了日间手术的发展模式,最大化利用医疗资源。本文就目前ERAS理念下的围手术期疼痛管理在日间LA中的应用进行综述,以期为优化疼痛管理流程及日间LA的开展提供参考。

In recent years, the concept of enhanced recovery after surgery (ERAS) has been popularized and applied more rapidly in many countries. Acute appendicitis is a common disease in general surgery, while laparoscopic appendectomy (LA) has become the preferred treatment. The perioperative pain management of LA under the concept of ERAS can achieve good analgesic effects through standardized procedures such as preoperative education, good preoperative and postoperative pain assessment, and personalized analgesia plans, so as to promote rapid recovery of patients, which fits the development model of ambulatory surgery and maximizes the utilization of medical resources. Therefore, this article summarizes the application of perioperative pain management under the concept of ERAS in ambulatory LA , in order to provide reference for optimizing the perioperative pain management process of LA and the implementation of ambulatory LA.

[1]
Kaman L, Chakarbathi K, Gupta A, et al. Impact of Enhanced Recovery after Surgery protocol on immediate surgical outcome in elderly patients undergoing pancreaticoduodenectomy[J]. Updates Surg, 2019, 71(4): 653-657.
[2]
Shiono S, Endo M, Suzuki K, et al. Impact of enhanced recovery after surgery on outcomes of elderly patients undergoing open thoracic surgery[J]. Gen Thorac Cardiovasc Surg, 2019, 67(10): 867-875.
[3]
夏加英,羊馥华,羊红儿, 等. 加速康复外科理念联合日间手术模式在腹腔镜胆囊切除术中的应用价值分析[J/CD]. 中华危重症医学杂志(电子版), 2021, 14(4): 312-315.
[4]
徐建国. 成人日间手术后镇痛专家共识(2017) [J]. 临床麻醉学杂志, 2017, 33(8): 812-815.
[5]
Trejo-Ávila ME, Romero-Loera S, Cárdenas-Lailson E, et al. Enhanced recovery after surgery protocol allows ambulatory laparoscopic appendectomy in uncomplicated acute appendicitis: A prospective, randomized trial[J]. Surg Endosc, 2019, 33(2): 429-436.
[6]
Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council[J]. J Pain, 2016, 17(2): 131-157.
[7]
陈凛,陈亚进,董海龙, 等. 加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志, 2018, 38(1): 1-20.
[8]
马正良,黄宇光,顾小萍, 等. 成人日间手术加速康复外科麻醉管理专家共识[J]. 协和医学杂志, 2019, 10(6): 562-569.
[9]
Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery[J]. Anaesthesia, 2019, 74(6): 778-792.
[10]
Shimony N, Amit U, Minz B, et al. Perioperative pregabalin for reducing pain, analgesic consumption, and anxiety and enhancing sleep quality in elective neurosurgical patients: A prospective, randomized, double-blind, and controlled clinical study[J]. J Neurosurg, 2016, 125(6): 1513-1522.
[11]
边焱焱,朱威,冯宾, 等. 术前静脉采血穿刺疼痛评估预测全膝关节置换术后疼痛程度的价值[J]. 中华骨与关节外科杂志, 2020, 13(7): 585-588
[12]
Peng F, Li Y, Ai Y, et al. Application of preoperative assessment of pain induced by venous cannulation in predicting postoperative pain in patients under laparoscopic nephrectomy: A prospective observational study[J]. BMC Anesthesiol, 2020, 20(1): 86.
[13]
Palanisami DR, Reddy DA, Huggi V, et al. Assessing preoperative pain sensitivity predicts the postoperative analgesic requirement and recovery after total knee arthroplasty: A prospective study of 178 patients[J]. J Arthroplasty, 2020, 35(12): 3545-3553.
[14]
Pedersen KV, Olesen AE, Osther PJ, et al. Prediction of postoperative pain after percutaneous nephrolithotomy: can preoperative experimental pain assessment identify patients at risk?[J]. Urolithiasis, 2013, 41(2): 169-177.
[15]
Kehlet H. Postoperative pain, analgesia, and recovery-bed fellows that cannot be ignored[J]. Pain, 2018, 159 Suppl 1: S11-S16.
[16]
Mantuani D, Luftig J, Herring A, et al. A novel technique to reduce reliance on opioids for analgesia from acute appendicitis: the ultrasound-guided erector spinae plane block[J]. Clin Pract Cases Emerg Med, 2019, 3(3): 248-251.
[17]
Shafy SZ, Miller R, Uffman JC, et al. An enhanced recovery protocol that facilitates same-day discharge for simple laparoscopic appendectomies[J]. Pediatr Qual Saf, 2019, 4(6): e243.
[18]
Huang YY, Suthananthan AE, Hunt V, et al. The role of intraperitoneal ropivacaine in laparoscopic appendicectomy: A prospective, double-blinded randomized control Australian study[J]. ANZ J Surg, 2019, 89(1-2): 101-105.
[19]
Ciarrocchi A, Amicucci G. Safety and impact on diagnostic accuracy of early analgesia in suspected acute appendicitis: A Meta-analysis[J]. Int J Surg, 2013, 11(9): 847-852.
[20]
Snyder MJ, Guthrie M, Cagle S. Acute appendicitis: efficient diagnosis and management[J]. Am Fam Physician, 2018, 98(1): 25-33.
[21]
Thanapal MR, Tata MD, Tan AJ, et al. Pre-emptive intraperitoneal local anaesthesia: An effective method in immediate post-operative pain management and metabolic stress response in laparoscopic appendicectomy, a randomized, double-blinded, placebo-controlled study[J]. ANZ J Surg, 2014, 84(1-2): 47-51.
[22]
Ball E, Waters N, Cooper N, et al. Correction: Evidence-Based Guideline on Laparoscopy in Pregnancy: Commissioned by the British Society for Gynaecological Endoscopy (BSGE) Endorsed by the Royal College of Obstetricians & Gynaecologists (RCOG)[J]. Facts Views Vis Obgyn, 2020, 11(3): 261.
[23]
Pearl JP, Price RR, Tonkin AE, et al. SAGES guidelines for the use of laparoscopy during pregnancy[J]. Surg Endosc, 2017, 31(10): 3767-3782.
[24]
Gee K, Ngo S, Burkhalter L, et al. Safety and feasibility of same-day discharge for uncomplicated appendicitis: A prospective cohort study[J]. J Pediatr Surg, 2018, 53(5): 988-990.
[25]
Liu Y, Seipel C, Lopez ME, et al. A retrospective study of multimodal analgesic treatment after laparoscopic appendectomy in children[J]. Paediatr Anaesth, 2013, 23(12): 1187-1192.
[26]
Ferguson DM, Anding CM, Arshad SA, et al. Preoperative opioids associated with increased postoperative opioid use in pediatric appendicitis[J]. J Surg Res, 2020, 255: 144-151.
[27]
Mahdi EM, Ourshalimian S, Russell CJ, et al. Fewer postoperative opioids are associated with decreased duration of stay for children with perforated appendicitis[J]. Surgery, 2020, 168(5): 942-947.
[28]
张勇,陈延山. 加速康复外科在老年人腹腔镜胆囊切除术围手术期的应用分析[J].临床肝胆病杂志2014, 30(12): 1295-1298.
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