Palavras-chave
Recuperação aprimorada após cirurgia
Cuidados perioperatórios
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Resumo
Objetivo: Analisar a evidência a respeito da incorporação dos protocolos de Recuperação Aprimorada Após Cirurgia (Enhanced Recovery After Surgery – ERAS) nos procedimentos de reconstrução mamária. Revisão bibliográfica: Os protocolos ERAS vêm sendo amplamente incorporados à prática cirúrgica moderna, com o objetivo de reduzir o estresse fisiológico do procedimento, acelerar a recuperação pós-operatória e melhorar os desfechos clínicos. Esses protocolos baseiam-se em uma abordagem do cuidado perioperatório, sendo atualmente aplicados em diversas especialidades, inclusive na reconstrução mamária. Divididos em procedimentos pré, peri e pós-cirúrgicos, esses elementos abrangem desde o preparo e educação da paciente até estratégias de analgesia multimodal, controle de fluidos, mobilização precoce e suporte pós-alta, refletindo uma abordagem integral do cuidado perioperatório. Considerações finais: Os protocolos ERAS constituem uma estratégia eficaz e segura para o manejo perioperatório em reconstrução mamária, promovendo recuperação mais rápida, redução do tempo de internação, menor consumo de opioides e melhora da experiência da paciente. Os benefícios observados parecem decorrer da integração de múltiplas intervenções ao longo de todo o continuum do cuidado, reforçando a importância da adesão global ao protocolo e da atuação multidisciplinar. Os resultados sugerem impacto positivo na eficiência dos sistemas de saúde, com potencial redução de custos e melhor alocação de recursos.
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