快速康复理念在小儿鼾症围术期护理中的应用.docxVIP

快速康复理念在小儿鼾症围术期护理中的应用  Abstract The concept of fast-track recovery has been widely applied in various surgical fields to optimize patient outcomes. In recent years, it has also been introduced to pediatric sleep-disordered breathing, specifically in the perioperative care of children with obstructive sleep apnea (OSA) undergoing adenotonsillectomy. This article examines the application of fast-track recovery in pediatric OSA surgery and its potential benefits. Introduction Obstructive sleep apnea (OSA) is a common sleep-disordered breathing in children, with prevalence rates ranging from 1% to 10% in different age groups. The most common treatment for OSA is adenotonsillectomy, which has a high success rate in resolving the obstructive symptoms. However, the postoperative recovery period can lead to significant morbidity, including pain, nausea, vomiting, dehydration, and respiratory complications. To minimize these adverse events and improve outcomes, the concept of fast-track recovery has been introduced to OSA surgery. The Fast-Track Recovery Concept Fast-track recovery, also known as enhanced recovery after surgery (ERAS), is a multimodal approach that aims to accelerate the recovery process and reduce the length of hospital stay without compromising patient safety. The core principles of fast-track recovery include preoperative optimization, intraoperative anesthesia and analgesia, and postoperative care optimization. Preoperative optimization includes patient education, hydration, nutrition, and bowel preparation to minimize the risk of complications and improve the patients overall condition before surgery. Intraoperative anesthesia and analgesia aim to reduce the amount and duration of anesthesia and analgesia while maintaining pain control and safety. Postoperative optimization involves early mobilization, pain management, and oral intake to expedite recovery and discharge. Fast-Track Recovery in Pediatric OSA Surgery The application of fast-track