ﺗﺴﺮﯾﻊ ﺑﻬﺒﻮدي ﺑﯿﻤﺎران ﺑﻌﺪ از ﻋﻤﻞ ﺟﺮاﺣﯽ

Enhanced Recovery after Surgery

ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﭘﯿﺸﺮﻓﺖ داﻧﺶ ﭘﺰﺷﮑﯽ و اﻓﺰاﯾﺶ اﻣﯿﺪ ﺑﻪ زﻧﺪﮔﯽ، ﺗﻌﺪاد اﻋﻤﺎل ﺟﺮاﺣﯽ ﭘﯿﭽﯿﺪه در اﻓﺮاد داراي ﺑﯿﻤﺎري زﻣﯿﻨﻪاي اﻓﺰاﯾﺶ ﭼﺸﻤﮕﯿﺮي داﺷﺘﻪ اﺳﺖ. ﺑﻪ ﻧﻈﺮ ﻣﯽرﺳﺪ ﺗﺪوﯾﻦ راﻫﻨﻤﺎي ﻋﻤﻠﯽ ﺑﺮاي ﺑﻬﺒﻮد ﮐﯿﻔﯿﺖ اﻋﻤﺎل ﺟﺮاﺣﯽ ﺑﺎﻋﺚ ﮐﺎﺳﺘﻦ از ﻋﻮارض ﺟﺮاﺣﯽ و ﺗﺴﺮﯾﻊ در ﺑﺮﮔﺸﺖ ﺑﯿﻤﺎر ﺑﻪ ﺟﺎﻣﻌﻪ ﻣﯽﺷﻮد ﮐﻪ اﯾﻦ ﺑﺮﻧﺎﻣﻪ ﺑﺎ ﻧﺎم ])[Enhanced Recovery After Surgery (ERAS در ﺳﺎل 2001 ﺗﻮﺳﻂ ﮔﺮوﻫﯽ از ﺟﺮاﺣﺎن آﮐﺎدﻣﯿﮏ در ﻟﻨﺪن اراﺋﻪ ﺷﺪه اﺳﺖ. ﺗﺴﺮﯾﻊ ﺑﻬﺒﻮدي ﺑﯿﻤﺎران ﺑﻌﺪ از ﻋﻤﻞ ﺟﺮاﺣﯽ ﯾﺎ ERAS اﻏﻠﺐ ﺑﺮاي ﺗﻮﺻﯿﻒ روﯾﮑﺮدي ﭼﻨﺪ ﻣﻨﻈﻮره و ﭼﻨﺪ رﺷﺘﻪاي ﺑﺮاي ﻣﺮاﻗﺒﺖ از ﺑﯿﻤﺎراﻧﯽ اﺳﺖ ﮐﻪ ﺗﺤﺖ ﻋﻤﻞ ﺟﺮاﺣﯽ ﻗﺮار ﻣﯽﮔﯿﺮﻧﺪ. ﺷﻮاﻫﺪ ﻧﺸﺎن ﻣﯽدﻫﺪ در ﺻﻮرت اﺟﺮاي ﻣﻮﻓﻖ دﺳﺘﻮراﻟﻌﻤﻞﻫﺎي ERAS، ﻧﻪ ﺗﻨﻬﺎ ﮐﯿﻔﯿﺖ درﻣﺎن و ﺟﺮاﺣﯽ ﺑﻬﺒﻮد ﭘﯿﺪا ﻣﯽﮐﻨﺪ ﺑﻠﮑﻪ ﻣﻮﺟﺐ ﮐﺎﻫﺶ ﻃﻮل ﻣﺪت اﻗﺎﻣﺖ ﺑﯿﻤﺎر و ﺑﻪ دﻧﺒﺎل آن ﮐﺎﻫﺶ ﻫﺰﯾﻨﻪﻫﺎ ﻣﯽﮔﺮدد. ﻟﺬا ﺑﺮ آن ﺷﺪﯾﻢ ﺗﺎ ﻃﯽ ﻣﻄﺎﻟﻌﻪ ﻣﺮوري ﺑﻪ ﻣﻌﺮﻓﯽ اﯾﻦ راﻫﻨﻤﺎ در ﻗﺎﻟﺐ ﺳﻮاﺑﻖ، ﻓﻠﺴﻔﻪ وﺟﻮدي، ﺗﯿﻢ، ﻧﺤﻮه ﭘﯿﺎده ﺳﺎزي و دﺳﺘﺎوردﻫﺎي اﺟﺮاي ERAS ﺑﭙﺮدازﯾﻢ.

Along with the advancement of medical knowledge and increasing life expectancy, the number of complicated surgical operations in people with underlying diseases has also increased a lot. It seems that providing a practical guideline for improving the quality of surgical operation will lead to reduce of complications of surgery and quickly return of patient to community, in which this program presented by a group of academic surgeons in the name of Enhanced Recovery After Surgery (ERAS) in 2001 and in London. ERAS, is a multimodal and multidisciplinary approach for caring the patients who has underwented surgery. There are some evidences that in case of successful implementation of ERAS protocols, not only the quality of treatment and surgery improved but also it caused to reducing the length of stay of patient at hospital and its cost accordingly. So we decided to introduce this program by reviewing its background, existential philosophy, teams, implementation and achievements of running ERAS.