王国林加速康复外科麻醉管理(卫星会)临床医学医.pdfVIP

加速康复外科麻醉与镇痛管理 天津医科大学总医院 王国林 2015- 10 主要内容 1. PSH 2. 加速康复外科的围术期处理 3. 加速康复与镇痛管理 4. 地佐辛应用专家建议 PSH介绍及麻醉医师的作用 Trends in healthcare and the role of the anesthesiologist in the perioperative surgical home – the US perspective Curr Opin Anesthesiol 2014, 27:371–376 Curr Opin Anesthesiol 2014, 27:371–376 US population by age, 2000 and 2050,projected. In the coming decades, the working age population of the United States is expected to increase by only about 33%. At the same time, the number of people older than 65 years is expected to more than double and the number of people more than 85 years of age is expected to increase at an even higher rate. This will mean that sicker patients will be presenting for elective surgery Curr Opin Anesthesiol 2014, 27:371–376 于两个不同 时期65岁及 85岁以上老 龄人口增加 情况 Curr Opin Anesthesiol 2014, 27:371–376 医疗费用占GDP的份额，即老龄占 医疗费用比例 TRANSITION TO AMBULATORY SURGERY PERIOPERATIVE SURGICAL HOME MODEL  (1) Reduced preoperative testing and consultative services  (2) Reduced day of surgery cancellations  (3) Improved clinical outcomes  (4) Improved compliance with healthcare metrics(e.g., Surgical Care Improvement Project)  (5) Development of clinical initiatives for pre and postprocedure care (e.g., postoperative nausea and vomiting prophylaxis, anticoagulation management)  (6) Reduced postoperative complications  (7) Cost reduction (through reduced testing, reduced postoperative complications,