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Enhanced recovery after cesarean delivery: a challenge for anesthesiologists

Enhanced recovery after cesarean (ERAC) delivery is an evidence-based, multi-disciplinary approach throughout pre-, intra-, post-operative period. The ultimate goal of ERAC is to enhance recovery and improve the maternal and neonatal outcomes. This review highlights the role of anesthesiologist in E...

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Autores principales: Liu, Zhi-Qiang, Du, Wei-Jia, Yao, Shang-Long
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065872/
https://www.ncbi.nlm.nih.gov/pubmed/32032080
http://dx.doi.org/10.1097/CM9.0000000000000644
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author Liu, Zhi-Qiang
Du, Wei-Jia
Yao, Shang-Long
author_facet Liu, Zhi-Qiang
Du, Wei-Jia
Yao, Shang-Long
author_sort Liu, Zhi-Qiang
collection PubMed
description Enhanced recovery after cesarean (ERAC) delivery is an evidence-based, multi-disciplinary approach throughout pre-, intra-, post-operative period. The ultimate goal of ERAC is to enhance recovery and improve the maternal and neonatal outcomes. This review highlights the role of anesthesiologist in ERAC protocols. This review provided a general introduction of ERAC including the purposes and the essential elements of ERAC protocols. The tool used for evaluating the quality of ERAC (ObsQoR-11) was discussed. The role of anesthesiologist in ERAC should cover the areas including management of peri-operative hypotension, prevention and treatment of intra- and post-operative nausea and vomiting, prevention of hypothermia and multi-modal peri-operative pain management, and active pre-operative management of unplanned conversion of labor analgesia to cesarean delivery anesthesia. Although some concerns still remain, ERAC implementation should not be delayed. Regular assessment and process improvement should be imbedded into the protocol. Further high-quality studies are warranted to demonstrate the effectiveness and efficacy of the ERAC protocol.
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spelling pubmed-70658722020-08-05 Enhanced recovery after cesarean delivery: a challenge for anesthesiologists Liu, Zhi-Qiang Du, Wei-Jia Yao, Shang-Long Chin Med J (Engl) Review Article Enhanced recovery after cesarean (ERAC) delivery is an evidence-based, multi-disciplinary approach throughout pre-, intra-, post-operative period. The ultimate goal of ERAC is to enhance recovery and improve the maternal and neonatal outcomes. This review highlights the role of anesthesiologist in ERAC protocols. This review provided a general introduction of ERAC including the purposes and the essential elements of ERAC protocols. The tool used for evaluating the quality of ERAC (ObsQoR-11) was discussed. The role of anesthesiologist in ERAC should cover the areas including management of peri-operative hypotension, prevention and treatment of intra- and post-operative nausea and vomiting, prevention of hypothermia and multi-modal peri-operative pain management, and active pre-operative management of unplanned conversion of labor analgesia to cesarean delivery anesthesia. Although some concerns still remain, ERAC implementation should not be delayed. Regular assessment and process improvement should be imbedded into the protocol. Further high-quality studies are warranted to demonstrate the effectiveness and efficacy of the ERAC protocol. Wolters Kluwer Health 2020-03-05 2020-03-05 /pmc/articles/PMC7065872/ /pubmed/32032080 http://dx.doi.org/10.1097/CM9.0000000000000644 Text en Copyright © 2020 The Chinese Medical Association, produced by Wolters Kluwer, Inc. under the CC-BY-NC-ND license. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Review Article
Liu, Zhi-Qiang
Du, Wei-Jia
Yao, Shang-Long
Enhanced recovery after cesarean delivery: a challenge for anesthesiologists
title Enhanced recovery after cesarean delivery: a challenge for anesthesiologists
title_full Enhanced recovery after cesarean delivery: a challenge for anesthesiologists
title_fullStr Enhanced recovery after cesarean delivery: a challenge for anesthesiologists
title_full_unstemmed Enhanced recovery after cesarean delivery: a challenge for anesthesiologists
title_short Enhanced recovery after cesarean delivery: a challenge for anesthesiologists
title_sort enhanced recovery after cesarean delivery: a challenge for anesthesiologists
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065872/
https://www.ncbi.nlm.nih.gov/pubmed/32032080
http://dx.doi.org/10.1097/CM9.0000000000000644
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