Initiation of an Enhanced Recovery After Cesarean Delivery Protocol in a University Hospital in Serbia: A randomized comparison with existing management

Borislava Pujic; Tihomir Vejnnovic; Lidija Jovanović; Nada Anđelić; Aleksandra Vejnovic; Craig Palmer

doi:10.31636/pmjua.v7i4.4

Автор(и)

Borislava Pujic Clinical Center of Vojvodina, Anesthesia, Intensive care and Pain Therapy, Novi Sad, Serbia
Tihomir Vejnnovic University of Novi Sad, Faculty of Medicine; University Clinical Center of Vojvodina, Obstetrics and Gynecology, Novi Sad, Serbia
Lidija Jovanović Clinical Center of Vojvodina, Anesthesia, Intensive care and Pain Therapy, Novi Sad, Serbia
Nada Anđelić Clinical Center of Vojvodina, Anesthesia, Intensive care and Pain Therapy, Novi Sad, Serbia
Aleksandra Vejnovic University of Novi Sad, Faculty of Medicine; University Clinical Center of Vojvodina, Obstetrics and Gynecology, Novi Sad, Serbia
Craig Palmer University of Arizona

DOI:

https://doi.org/10.31636/pmjua.v7i4.4

Ключові слова:

акушерство, кесарів розтин, знеболювання, прискорене відновлення після операції

Анотація

Програми покращеного відновлення після хірургічного втручання (ERAS) були запроваджені в багатьох сферах клінічної практики протягом останніх років, щоб покращити відновлення пацієнтів, підвищити задоволеність пацієнтів і скоротити тривалість перебування в лікарні. У цьому дослідженні вивчалася можливість застосування протоколу ERAS після кесаревого розтину в системі, де недоступні нейраксіальні опіоїди тривалої дії. Матеріали та методи: 200 породіль були випадковим чином розподілені до групи покращеного відновлення (E) або контрольної групи (C), які отримували стандартний догляд. Після пологів породіллям групи Е була проведена блокада квадратної поперекової кістки під ультразвуковим контролем. У день операції обидві групи отримували внутрішньовенну аналгезію. У перший післяопераційний день пацієнти групи Е переходили на пероральні анальгетики, тоді як група С протоколи мають бути розроблені індивідуально для кожної установи у координації з системою охорони здоров’я.

Завантаження

Дані завантаження ще не доступні.

Посилання

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