Objective To explore the enhanced recovery after surgery in otorhinolaryngology, head and neck surgery, study and formulate the clinical path and diagnosis and treatment mode in practical clinical application, so as to help patients recover quickly after operation. Methods We screened the patients who were diagnosed as vocal cord polyps from June 2021 to September 2021 and planned to undergo laser surgery under microscopic supporting laser laryngoscope. A clinical pathway of Enhanced Recovery after Surgery model was formulated and implemented, which included an experimental group (15 patients who received fast-track surgery for intervention, FAS) and a control group (15 patients who were treated with traditional mode). The perioperative hunger, operation time, hospital stay, and satisfaction of the two groups were recorded and evaluated. Results Preoperative hunger and thirst were present in less FTS patients than the controls. Only 4 patients in the FTS group reported thirst during the perioperative period, while the number was 9 in the control group. Under the same operation and discharge standards, the patients treated with FTS showed shortened hospital stays and higher satisfaction than the control group. Conclusion FTS can be well applied in the perioperative period of otolaryngology, head and neck surgery under microscopic supporting laser laryngoscope to reduce patients’ preoperative discomfort such as hunger and thirst, shorten hospitalization time, increase perioperative satisfaction, and promote rapid recovery.
LI Shaohui
,
XU Wen
,
TANG Wei
,
ZHAO Chuanliang
. Clinical application of enhanced recovery after surgery model in otorhinolaryngologic surgery[J]. Surgical Research and New Technique, 2021
, 10(4)
: 277
-280
.
DOI: 10.3969/j.issn.2095-378X.2021.04.009
[1] Thiele R H, Rea K M, Turrentine F E, et al.Standardization of Care: Impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery[J]. J Am Coll Surg, 2015, 220(4):430-443.
[2] 中华医学会外科学分会, 中华医学会麻醉学分会. 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.
[3] Shinnick J K, Short H, Heiss K F, et al.Enhancing recovery in pediatric surgery: a review of the literature[J]. J Surg Res, 2016,202(1):165-176.
[4] Gan T.J Consensus guidelines for the management of postoperative nausea and vomiting[J]. Anesth Analg, 2015,120(2):494.
[5] Klemetti S, Suominen T.Fasting in paediatric ambulatory surgery[J]. Int J Nurs Pract, 2010, 14(1): 47-56.
[6] Dawson C, Pracy P, Patterson J, et al.Rehabilitation following open partial laryngeal surgery: Key issues and recommendations from the UK evidence based meeting on laryngeal cancer[J]. J Laryngol Otol, 2019,133(3):177-182.
[7] 刘娜,程莲,郭玉莲.经鼻蝶入路垂体瘤切除术患者应用快速康复外科理念护理的效果观察[J]. 齐鲁护理杂志,2020,26(4):13-15.