Objective To compare the improvement of the timeliness of emergency replantation treatment of severed fingers by enhanced recovery after surgery（ERAS）combined with green channel model and conventional emergency treatment procedure. Methods A total of 80 patients who underwent severed finger replantation in No.971 Hospital of PLA Navy from 2021 to 2022 were selected,and randomly divided into green channel group and conventional group,with 40 cases in each group. After admission,the green channel group was treated by ERAS combined with green channel mode until the end of surgery, while the s conventional group was treated with conventional mode in the emergency department. The preoperative preparation time（from admission to beginning of operation）,vital signs and visual analogue scale（VAS）at different time points during perioperative period including receiving（T0）, preoperative preparation（T1）, anaesthesia（T2） were observed in the two groups,and the successful replantation rate and postoperative complications were also documented. Results The preoperative preparation time of the green channel group [(101.75±28.79) min] was shorter than that of the conventional group（142.13 ± 41.24）minutes,and the difference was statistically significant（P<0.05）. The VAS pain score of the green channel group at time point T2（4.23 ± 1.31）was lower than that of the control group（6.63 ± 1.63）. The systolic and diastolic blood pressures at time points T1 and T2 in the green channel group were both lower than those in the conventional group, with significant differences（P<0.05）. There was no statistically significant difference in blood oxygen saturation and heart rate between the two groups at other time point. The successful replantation rate and postoperative complications between 2 groups showed no statistical difference. Conclusion ERAS combined with green channel model can improve the treatment timeliness of emergency patients with severed finger replantation,reduce the pain of patients during anesthesia,and make the perioperative blood pressure more stable.
Key words
emergency department /
green channel /
anesthesia /
replantation of severed finger
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