ERAS處置下常規使用氣麻技術的優勢

隨著醫療觀念及技術的發展與進步，近年對於手術前評估及術後恢復也在改變過去的習慣，例如近年來推廣的怡樂適（ERAS)也逐步在麻醉領域中佔有一席之地，然而不同的術式，不同的外科醫師，不同的手術室環境等等，都影響了麻醉醫師的接受及真實的操作！不可否認的，不論我們是否要往這個方向走，執行操作的細節與便利性也成為成功與否的關鍵！雖然氣體麻醉在心臟手術的使用早已成為日常的操作，然而相關藥物的使用，例如鴉片類，肌肉鬆馳劑，麻醉氣體的選擇等，都是影響ERAS執行成效良好與否的重要因素！我們如何將這些藥物及術中的監測整合也是我們討論的重點！我們期待今天的演講可以給大家一點整合性的觀念，希望對於大家在心臟麻醉執行中可以有一些幫忙！

Advantages of using inhaled anesthetics technique under ERAS protocol

In Cardiac Surgery, a fast-track project to improve outcomes was first initiated by bundling perioperative treatments.

Although ERAS is relativelynew to CS, we anticipate that programs can

benefit from these recommendations as they develop protocols to decrease  unnecessary variation and improve quality, safety, and value for their patients. Cardiac surgery involves a large clinician group working in concert throughout all phases of care.

Patient and caregiver education and systemwide engagement (facilitated by specialty champions and nurse coordinators) are necessary to implement best practices. A successful introduction of ERAS protocols is possible, but abroad-based, multi-disciplinary approach is imperative for success.