The application of enhanced recovery after surgery in perioperative management of thyroid ambulatory surgery
10.3760/cma.j.cn431274-20220524-00496
- VernacularTitle:加速康复外科理念下的日间甲状腺手术围手术期管理
- Author:
Yuan JIANG
1
;
Yunjiao WANG
;
Ximei WANG
;
Jingyi LI
;
Xiaoyan ZHU
;
Qulian GUO
;
Zhigang CHENG
Author Information
1. 中南大学湘雅医院麻醉与重症医学教研室，长沙 410008
- Keywords:
Thyroid diseases;
Ambulatory surgery;
Enhanced recovery after surgery;
Perioperative period
- From:
Journal of Chinese Physician
2022;24(6):819-822
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Through retrospective analysis of perioperative management data of ambulatory thyroid surgery under the concept of enhanced recovery after surgery (ERAS), we provide foundation for the safe implementation of ambulatory thyroid surgery.Methods:From January 2019 to December 2019, patients undergoing thyroid surgery were enrolled in the study under the concept of ERAS at the ambulatory surgery center of Xiangya Hospital, Central South University. Data of patients during perioperative period were collected, including adverse events, anesthesia recovery, postoperative and post-discharge recovery were recorded.Results:This study was included 703 cases of patients, thyroid nodules in 374 cases, thyroid malignant tumor in 329 cases. There were no significance difference in the operation time, anesthesia time, wake up of time, and postanesthesia care unit (PACU) time between the two groups (all P>0.05). No hypertension, hypotension, tachycardia, bradycardia or other arrhythmias occurred during perioperative period. No adverse events such as intraoperative awareness and delay of wake up occurred. No severe pain, nausea, vomiting, dizziness and other discomfort occurred after surgery. All 703 patients were discharged from hospital within 24 hours. Conclusions:Anesthesiologists participate in patient management according to the perioperative medicine requirements, and ambulatory thyroid surgery may be performed safely under the concept of ERAS.
