The Fundamental Role of Postoperative Critical Care in Gynecologic Oncology Surgery: A Brief Report

Konstantinos Koukoubanis, Vasiliki Bibasi, N. Thomakos
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引用次数: 2

Abstract

The value of postoperative critical care in gynecologic oncology surgery is crucial for the patient’s further postoperative course. For that reason different levels of postoperative care should exist, in order to identify in an early stage the possible complications and handle them properly . Strict indications of who should be admitted or not, should be defined and surgeons as well anesthesiologists should be aware of them. On the other hand, longer stay in hospital increases the likelihood of complications such as nosocomial infections and late ambulation, increasing morbidity and mortality. Therefore, longer stay in critical care units should be avoided, by predicting if patients are able to move to the general ward and later exit from the hospital. The next step is to set strict protocols for the indications of admission and decreased hospitalization by an accepted scientific team. These protocols should be applied universally in order to achieve the best possible outcomes in patients’ postoperative course.
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妇科肿瘤外科术后重症监护的基本作用:简要报告
妇科肿瘤外科术后重症监护的价值对患者术后的进一步治疗至关重要。因此,应该有不同程度的术后护理,以便在早期发现可能的并发症并妥善处理。应该明确谁应该住院或不住院的严格适应症,外科医生和麻醉师都应该了解这些适应症。另一方面,住院时间较长增加了院内感染和晚走动等并发症的可能性,增加了发病率和死亡率。因此,通过预测患者是否能够转移到普通病房并随后出院,应避免在重症监护病房停留更长时间。下一步是由一个公认的科学团队制定严格的入院指征和减少住院治疗的协议。这些方案应普遍应用,以便在患者的术后过程中获得尽可能好的结果。
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