Abstract:

The development, challenges and strategies of enhanced recovery after surgery in China        ZHU Bin*，Jeffrey Huang. *Peking University International Hospital, Anesthesiology Department, Beijing 102206,China
Corresponding author：ZHU Bin, E-mail: zhubin@pkuih.edu.cn
Abstract    Enhanced recovery after surgery （ERAS）， is a multimodal perioperative care pathway， based on evidence-based medicine and designed to achieve early recovery for patients undergoing major surgery. Although ERAS is gradually stressed and valued in China， its practice is confronted with many challenges. Making those international ERAS guidelines adapted to China， producing domestic evidence for the Chinese ERAS Consensus， achieving the seamless connection and cooperation among different professionals and building up a safe perioperative ERAS protocol are major concerns need to be addressed. Working together with surgeons， anesthesiologists are called to update their professional roles， standardize practice principles， strengthen professional communication and construct a safe， efficient and hospital-based ERAS system.

Key words: surgery, anesthesia, enhanced recovery after surgery

摘要：

加速康复外科（ERAS）是根据现有的循证医学证据，采用多模式策略，优化围手术期处理措施，减少手术病人围手术期的生理及心理创伤应激，最终达到改善外科病人术后恢复并缩短住院时间的目的。ERAS在国内日益受到重视，但是面临诸多挑战。如何实现国际指南的本土化、如何实现国内专家共识的数据化、如何实现ERAS诊疗的无缝隙连接以及如何确保ERAS实践中的围手术期安全都是亟待解决的问题。麻醉医生应当与外科医生一起，更新学科理念，规范医疗行为，加强专业沟通，打造适合中国国情、安全的ERAS围手术期体系。

关键词: 手术, 麻醉, 加速康复外科