726《中华骨与关节外科杂志》2022年10月第15卷第10期Chin J Bone Joint Surg,VoL15,No.10,Oct.2022国家卫生健康委加速康复外科专家委员会骨科专家组，中国研究型医院学会骨科加速康复专业委员会，中国康复技术转化及促进会骨科加速复专业委员会骨科加速康复围手术期麻醉管理专家共识.中华骨与关节外科杂志，2022,15(10小726-732.·专家共识·骨科加速康复围手术期麻醉管理专家共识国家卫生健康委加速康复外科专家委员会骨科专家组，中国研究型医院学会骨科加速康复专业委员会，中国康复技术转化及促进会骨科加速康复专业委员会【摘要】围手术期麻醉管理是骨科手术加速康复能否顺利实施的关键。为了实范骨科加速康复围手术期麻醉管理的精细化与个体化，推动加速康复外科骨科试点工作的落实，国家卫生健康委加递康复外科专家委员会骨科专家组、中国研究型医院学会骨科加速康复专业委员会、中回康复技术转化及促进会骨科加速康复专业委员会联合麻醉科与相关学科专家成立骨科加速康复系列共识编写专家委员会，以临床问题为导向，遵循循证医学原则，从术前、术中、术后归纳出4个方面的问题：①术前（门珍和住院手术前】宣教与评估：②合并疾病的术前评估与治疗；③麻醉管理原则（麻醉方式选择、控制性降压、术中保温、应用氨甲环酸、自体血液回收、液体管理、术毕转运)：④术后管理（术后疼痛评估与管理、预防术后恶心呕吐、术后饮食管理、术后早期活动、术后访视）。按照上述4个方面的问题进行文献检索和归钠，结合近5年国内外最新研究进展，通过多次会议交流、在线咨询、反复讨论和修改后形成本共识，期望其为我国骨科加速康复围手术期麻醉管理的多学科协作起到积极的推动作用，最终达到加速患者康复的目的。【关键词】骨科手术；加速康复外科；国手术期；麻醉管理【中图分类号】R68【文章编号】2095-9958(2022)10-0726-07【文献标志码】AD0:10.3969/i.issn.2095-9958.2022.10.02Expert consensus on perioperative anesthesia management in orthopaedics in enhancedrecovery after surgery programOrthopaedic Expert Group of ERAS profession Committee of National Health Commission,Orthopaedic ERAS profession Committeeof Chinese Research Hospital Association,Orthopaedic ERAS profession Committee of China Association of RehabilitationTechnology Transformation and PromotionCorresponding Author:LIU Bin,HUANG Yuguang,QIU Guixing,PEI Fuxing[Abstract)Perioperative anesthesia management is crucial to the implementation of enhanced recovery after surgery (ERAS)inorthopaedic surgery.In order to achieve the detailed and individualized perioperative anesthesia management and implement ERASin orthopaedic surgery,Orthopaedic Expert Group of ERAS profession Committee of National Health Commission,Orthopaedic ERASprofession Committee of Chinese Research Hospital Association,Orthopaedic ERAS profession Committee of China Association ofRehabilitation Technology Transformation and Promotion,together with anesthesiologists and physicians from related disciplines,established a collaborative expert committee for this consensus writing.Focusing on the clinical problems and following evidence-based medicine principles,the experts summarized the following four aspects from pre-operation to post-operation:pre-operativepatients'evaluation and education (during outpatient service or before post-hospital surgery);(2)preoperative coexisting diseasesevaluation and treatment,3 anesthetic management content including anesthetic mode,controlled blood pressure reduction,heatpreservation,tranexamic acid application,autoblood recycle,fluid management and postoperative transport,postoperative anesthesiamanagement(postoperative pain evaluation and management,prevention of nausea and vomiting,diet management,early rehabilitationactivities,postoperative visit).Around these fouraspects,literature was searched and induced,and the latest researches of recent five yearswere referenced.Through repeated conference communication,online consultation,discussions and revisions,this consensus wasdeveloped hoping to promote the multidisciplinary
