Problems and Reflections of Academic Team Building in the Clinical Practice of Accelerated Rehabilitation Surgery

Authors

  • Daxing Sun
  • Fei Wu Hangzhou Third People's Hospital

DOI:

https://doi.org/10.58195/amr.v1i1.16

Keywords:

Accelerated rehabilitation surgery, disciplinary team building, invisible burden, graded diagnosis and treatment

Abstract

Enhanced recovery after surgery, the advancement of ERAS concept and minimally invasive surgical techniques have greatly accelerated the recovery of patients after surgery. However, due to the relatively lagging development of the inherent clinical cooperation team model and operational procedures at this stage, the advantages of ERAS have not been fully utilized, and the widespread promotion and popularization of ERAS have been limited. Reviewing the global clinical practice and research progress of ERAS, the problems in ERAS team building are analyzed from the following aspects. First, ERAS team building requires simultaneous development of concept and technology; second, ERAS team building model suitable for national conditions; third, the "invisible burden" of ERAS team clinical work; fourth, how to integrate ERAS team building with hierarchical diagnosis and treatment; fifth, the challenges and opportunities of ERAS team building. Fifth, the challenges and opportunities of ERAS team building. In conclusion, ERAS team building should be aimed at promoting ERAS technology and benefiting patients.

References

[1] Weiguo Che. "Establishment and optimization of an accelerated rehabilitation surgical system for lung cancer." Chinese Journal of Lung Cancer 20.12(2017):5.

[2] Weiguo Che. "Accelerated Pulmonary Rehabilitation Surgery Clinical Practice and Evidence." Chinese Journal of Lung Cancer 20.6(2017):5.

[3] Weiguo Che, Lunxu Liu, and Qinghua Zhou. "Accelerating rehabilitation surgery from theory to practice - what else do we need to do?" Chinese Journal of Lung Cancer 4(2017).

[4] Meislin, H. W. , et al. "Fast Track: urgent care within a teaching hospital emergency department: can it work?." Annals of Emergency Medicine 17.5(1988):453-456.

[5] Cotton, and Paul. "Fast-Track Improves CABG Outcomes." Jama (1993).

[6] Jolly, P., and F. W. Ling. "Applications for residency programs in obstetrics and gynecology, 1996-1997. " Obstetrics Gynecology 92.5(1998):873.

[7] Weiguo Che, Lunxu Liu, and Yingkang Shi. "Current status and reflections on the clinical application of accelerated rehabilitation surgery." Chinese Clinical Journal of Thoracic and Cardiovascular Surgery 23.3(2016):5.

[8] Cheng Shen et al. "Accelerated rehabilitation surgical evaluation index: status and progress of clinical application of patientreported outcomes in thoracic surgery." Chinese Journal of Lung Cancer 22.3(2019):6.

[9] Bai, Xueli , et al. "The implementation of an enhanced recovery after surgery (ERAS) program following pancreatic surgery in an academic medical center of China." Pancreatology (2016):665-670.

[10] Na Du et al. "Clinical status of accelerated rehabilitation surgery in thoracic surgery in mainland China–an analysis based on a survey of thoracic surgeons and nurses." Chinese Journal of Lung Cancer 20.3(2017):6.

[11] Galli, E., et al. "Enhanced Recovery After Surgery (ERAS½o) multimodal programme as experienced by pancreatic surgery patients: Findings from an Italian qualitative study." International Journal of Surgery (2015).

[12] Devin, C. J., and M. J. Mcgirt. "Best evidence in multimodal pain management in spine surgery and means of assessing postoperative pain and functional outcomes. " Journal of Clinical Neuroscience 22.6(2015):930-938.

[13] Vetter, Thomas R , et al. "The Perioperative Surgical Home: how can it make the case so everyone wins?." Bmc Anesthesiology 13.1(2013):6-6.

[14] Weiguo Che, and Lunxu Liu. "Accelerated pulmonary rehabilitation surgery, the need for precision treatment?" Chinese Journal of Lung Cancer 20.8(2017):6.

[15] Aahlin, E. K. , et al. "Functional recovery is considered the most important target: a survey of dedicated professionals." Perioperative Medicine 3.1(2014):5.

[16] Gillissen, F. , et al. "Sustainability of an enhanced recovery after surgery program (ERAS) in colonic surgery. " World Journal of Surgery 39.2(2015):526.

[17] Weiguo Che. "Accelerated rehabilitation surgery - between clinical application plus or minus?". Chinese Journal of Lung Cancer 22.11(2019):6.

[18] Su, W. , et al. "A hospital-to-home evaluation of an enhanced recovery protocol for elective pancreaticoduodenectomy in China: A cohort study." Medicine 96.41(2017):e8206.

[19] Wei, Xin , et al. "Does daily chest ultrasound in the postoperative period contribute to an enhanced recovery after surgery pathway for patients undergoing general thoracic surgery." J Thorac Dis 1(2019).

[20] Li, Shuangjiang , et al. "Current situation and consideration on the enhanced recovery protocols in lung cancer surgery." Journal of Thoracic Disease 10.S33(2018):S3855-S3858.

[21] Li, Shuangjiang , et al. "Enhanced recovery programs in lung cancer surgery: Systematic review and meta-analysis of randomized controlled trials." Cancer Management and Research Volume 9(2017):657-670.

[22] Weiguo Che. "Accelerated Rehabilitation Surgery-Humanity OR Technology?" Chinese Journal of Lung Cancer 21.3(2018):5.

[23] Yanbo Liang, and Zhenzhong Zhang. "Expert consensus on standardized procedures for day surgery in biliary tract surgery (2018 edition)." Chinese Journal of Surgery 2018, Vol. 56, No. 5, 321-327.

Academic Team Building

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Published

08/25/2022

How to Cite

Sun, D., & Wu, F. (2022). Problems and Reflections of Academic Team Building in the Clinical Practice of Accelerated Rehabilitation Surgery. Advanced Medical Research, 1(1), 29–34. https://doi.org/10.58195/amr.v1i1.16