医学
头颈部
模式治疗法
多学科团队
患者满意度
外科
心理干预
审计
人口
麻醉
护理部
环境卫生
经济
管理
作者
Douglas M. Worrall,Anthony Tanella,Samuel DeMaria,Brett A. Miles
标识
DOI:10.1016/j.otc.2019.08.008
摘要
Enhanced recovery protocols have been developed from gastrointestinal, colorectal, and thoracic surgery populations. The basic tenets of head and neck enhanced recovery are: a multidisciplinary team working around the patient, preoperative carbohydrate loading, multimodal analgesia, early mobilization and oral feeding, and frequent reassessment and auditing of protocols to improve patient outcomes. The implementation of enhanced recovery protocols across surgical populations appear to decrease length of stay, reduce cost, and improve patient satisfaction without sacrificing patient quality of care or changing readmission rates. This article examines evidence-based enhanced recovery interventions and tailors them to a major head and neck surgery population.
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