文章基本信息

标题：Anesthetic Routines: The Anesthesiologist's Role in GI Recovery and Postoperative Ileus
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作者：John B. Leslie ; Eugene R. Viscusi ; Joseph V. Pergolizzi Jr. 等
期刊名称：Advances in Preventive Medicine
印刷版ISSN：2090-3480
电子版ISSN：2090-3499
出版年度：2011
卷号：2011
DOI：10.4061/2011/976904
出版社：Hindawi Publishing Corporation
摘要：All patients undergoing bowel resection experience postoperative ileus, a transient cessation of bowel motility that prevents effective transit of intestinal contents or tolerance of oral intake, to varying degrees. An anesthesiologist plays a critical role, not only in the initiation of surgical anesthesia, but also with the selection and transition to effective postoperative analgesia regimens. Attempts to reduce the duration of postoperative ileus have prompted the study of various preoperative, perioperative, and postoperative regimens to facilitate gastrointestinal recovery. These include modifiable variables such as epidural anesthesia and analgesia, opioid-sparing anesthesia and analgesia, fluid restriction, colloid versus crystalloid combinations, prokinetic drugs, and use of the new peripherally acting mu-opioid receptor (PAM-OR) antagonists. Review and appropriate adaptation of these multiple modifiable interventions by anesthesiologists and their surgical colleagues will facilitate implementation of a best-practice management routine for bowel resection procedures that will benefit the patient and the healthcare system.