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Enhanced recovery after surgery:Progress in adapted pathways for implementation in standard and emerging surgical settings

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World Journal of Clinical Cases 2024年第25期12卷 5636-5641页

作者： mohamed Wishahi nabawya m kamal mohamed Saied Hedaya Department of Urology Theodor Bilharz Research InstituteCairo 12411Egypt Department of Anaesthesia and Surgical Intensive Care Theodor Bilharz Research InstituteCairo 12411Egypt Department of Surgery Theodore Bilharz Research InstituteCairo 12411Egypt

The concept of enhanced recovery after surgery(ERAS)has been practiced for decades and has been implemented in numerous surgical *** is a global surgical quality improvement initiative,and it is an element in the field of perioperative *** had shown significant clinical outcomes,patientreported satisfaction,and improvements in medical service *** has been developed for specific surgical procedures,but with the fast progress of newly introduced surgical procedures,the original ERAS have been developed and *** appearing Topics and future research trends encompass ERAS protocols for other types of surgery and the enhancement of perioperative status,including but not limited to pediatric surgery,laparoscopic and robotic assisted surgery,bariatric surgery,thoracic surgery,and renal *** elements and pathways of ERAS have been developed with the introduction of up-to-date methodologies in the pre-operative,operative,and post-operative *** costs are higher than traditional care,but the patient’s clinical outcome and satisfaction are *** is in progress in the fields of anesthetic tasks,pediatric surgery,and organ *** ERAS has shown significant clinical outcomes,there are needs to modify the protocol for specific cases,hospital facilities,resources,and nurses training on elements of *** challenges and limitations exist in the implementation of ERAS that deserve consideration,it includes:Frailty,maximizing nutrition,prehabilitation,treating preoperative anemia,and enhancing ERAS adoption globally are all included.

关键词： Enhanced recovery after surgery Anesthesia Nurses Elderly Bowel preparation ERAS Perioperative nutrition major&ambulatory surgery

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multidisciplinary basic and clinical research of acute kidney injury with COVID-19:Pathophysiology,mechanisms,incidence,management and kidney transplantation

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World Journal of Nephrology 2022年第3期11卷 105-114页

作者： mohamed Wishahi nabawya m kamal Department of Urology Theodor Bilharz Research InstituteCairo 12411Egypt Department of Anaesthesia and Surgical Intensive Care Theodor Bilharz Research InstituteCairo 12411Egypt

Acute kidney injury(AKI)linked to coronavirus disease 2019(COVID-19)has been identified in the course of the *** can be mild or severe and that is dependent on the presence of comorbidities and the severity of *** patients who had been hospitalized with COVID-19,some were admitted to intensive care *** etiology of AKI associated with COVID-19 is *** of severe AKI is the prime task in patients with COVID-19 that necessitates a battery of measurements and precautions in *** with AKI who have needed dialysis are in an increased risk to develop chronic kidney disease(CKD)or a progression of their existing *** transplantation patients with COVID-19 are in need of special management to adjust the doses of immunosuppression drugs and corticosteroids to guard against graft rejection but not to suppress the immune system to place the patient at risk of developing a COVID-19 *** drugs and corticosteroids for patients who have had a kidney transplant has to be adjusted based on laboratory results and is individualized aiming at the protection of the transplanted from rejection.

关键词： Acute kidney injury COVID-19 SARS-CoV-2 Kidney transplantation Dialysis Immunosuppressant Intensive care unit mortality Cytokine storm

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