Advance in Cardiovascular Anesthesia: Fast-track<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />李立环 中国医学科学院北京阜外心血管病医院麻醉科 Lihuan Li, M.D., Ph.D. Department of Anesthesiology,Cardiovascular Institute and Fuwai Cardiovascular Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037 ABSTRACT Fast track is the most obviously reflection of advances in cardiovascular anesthesia. This technique is used to utilize medical resources effectively, and improve patient outcome and reduce medical overall costs. This article discussed several questions of fast tract. Key words: Cardiovascular Anesthesia; Fast tract 21世纪医疗健康服务的进步要求降低医疗支出,也要求更加有效地利用目前的设备和医疗资源。这就需要临床医生和医院管理人员提出并实施新的医疗方案以提高医疗质量,并限制或减少医疗支出。为此,应运而生的技术,即为快通道技术(fast-track,FT)。快通道技术要求术毕即刻气管拔管或术后1小时内拔管,以便病人尽早回到普通病房,并在48-72小时内出院。快通道心脏麻醉广泛适用于各种心血管手术,如非体外循环下冠状动脉旁路移植术及体外循环下的手术,从简单的房、室间隔缺损修补到较复杂的冠状动脉旁路移植加瓣膜置换术,以及复杂的先天性心脏病手术,如双向Glenn分流术、Fontan、Ross手术,甚至深低温停循环手术都可施行快通道。
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