Résumé
La récupération (réhabilitation) rapide (accélérée) est un concept général recherchant un retour rapide à un état physiologique normal après chirurgie. Elle s’adapte très bien à la césarienne (RRAC) car elle permet de favoriser la mobilité de l’opérée, autorise le retrait des sondes et perfusions, favorise la reprise précoce des boissons et de l’alimentation et peut réduire la durée du séjour hospitalier. En favorisant l’amélioration de l’état maternel, cette récupération rapide peut également jouer un rôle positif dans la création du lien mère-enfant et augmenter la satisfaction maternelle. Les actions composant cette stratégie sont multiprofessionnelles, engageant toute l’équipe hospitalière, et bien que débutant au moment de l’acte opératoire, elles se poursuivent en période postopératoire et méritent d’être poursuivies au domicile, nécessitant une transition organisée.
Abstract
Enhanced recovery after surgery (ERAS) is a general concept which aims at obtaining a rapid return to normal physiological activities after the procedure. ERAS is particularly well adapted for caesarean delivery as it encourages early mobilization and early drinking and feeding, rapid withdrawal of catheters, and at the end may reduce hospital length of say. By improving maternal status, ERAS has the ability to increase maternal satisfaction and enhance maternal-neonatal bonding. Components of ERAS protocols require understanding of all healthcare providers working in the maternity unit and should be associated with interprofessional management. Although some components are undertaken at the time of the surgical procedure, most are conducted mainly in the postoperative period, in hospital but also after discharge and require home care, requiring wellorganised transition of care.
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Lahoud, M.J., Benhamou, D. Récupération rapide/accélérée après césarienne (RRAC) : les composants d’une amélioration des pratiques (traitement analgésique exclu). Douleur analg 29, 114–117 (2016). https://doi.org/10.1007/s11724-016-0461-4
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DOI: https://doi.org/10.1007/s11724-016-0461-4
Mots clés
- Récupération rapide
- Césarienne
- Mobilité
- Satisfaction
- Sonde vésicale
- Perfusion intraveineuse
- Postopératoire