Progress in ERAS-based anesthetic management for patients undergoing deep inferior epigastric perforator flap breast reconstruction

VernacularTitle:基于ERAS的腹壁下深血管穿支皮瓣乳房重建术麻醉管理进展
Author: Fei-Fei LOU ¹ ; Jun ZHANG ; Jiong WU
Author Information

1. 复旦大学附属肿瘤医院麻醉科,上海 200032;复旦大学附属肿瘤医院乳腺外科上海 200032
Keywords: enhanced recovery after surgery(ERAS); deep inferior epigastric perforator(DIEP); flap breast reconstruction; anesthetic protocol; perioperative management; homeostasis regulation
From: Fudan University Journal of Medical Sciences 2024;51(1):102-108
CountryChina
Language:Chinese
Abstract: At present,the development of enhanced recovery after surgery(ERAS)pathways in deep inferior epigastric perforator(DIEP)flap breast reconstruction is still in the initial stage worldwide,lacking established guidelines.In the multidisciplinary ERAS pathways,the department of anesthesiology is responsible for some core elements such as optimizing anestheticprotocols,perioperative fluid management and homeostasis regulation,prevention of hypothermia,improvement of perioperative analgesia,and postoperative nausea and vomiting prophylaxis.We summarized the anesthetic management in the ERAS pathways for patients undergoing DIEP flap breast reconstruction in Fudan University Shanghai Cancer Center,along with the recent progress,aiming to establish and improve the perioperative strategy based on ERAS pathways in DIEP flap breast reconstruction.