Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist

Detalhes bibliográficos
Autor(a) principal: Rizzi, Samantha Karlla Lopes de Almeida
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: por
eng
spa
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4391
Resumo: Due to the increase of the global cancer incidence, the number of patients admitted for cancer surgery has risen as well. Strategies to optimize postoperative recovery (fast-track surgery) are recommended, and physiotherapists play a key role in health teams caring for surgical patients. Post-operative recovery optimization protocols such as Enhanced Recovery After Surgery (ERAS) and the ACERTO Project (acceleration of total post-operative recovery) include pre-, peri- and post-operative management, with the following elements: information and pre-habilitation, abbreviation of fasting and early reintroduction of food, adequate prophylaxis and correct management of symptoms, reduction of fluids and non-colon preparation, minimally invasive procedures, and early mobilization. For individuals with cancer, the acceleration of the physical and functional recovery after surgery is essential to enable the patient to undergo adjuvant therapies within the recommended therapeutic window. These protocols address the major role physiotherapists play, especially in post-surgery pre-habilitation and early mobilization.
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spelling Enhanced Recovery After Surgery in Oncologic Patients: The Role of the PhysiotherapistAceleración de la Recuperación Postoperatoria en Pacientes Oncológicos: El Papel del FisioterapeutaAceleração da Recuperação Pós-operatória em Pacientes Oncológicos: O Papel do Fisioterapeutacuidados pós-operatóriosfisioterapeutasoncologia cirúrgicapostoperative carephysical therapistssurgical oncologycuidados posoperatoriosfisioterapeutasoncología quirúrgicaDue to the increase of the global cancer incidence, the number of patients admitted for cancer surgery has risen as well. Strategies to optimize postoperative recovery (fast-track surgery) are recommended, and physiotherapists play a key role in health teams caring for surgical patients. Post-operative recovery optimization protocols such as Enhanced Recovery After Surgery (ERAS) and the ACERTO Project (acceleration of total post-operative recovery) include pre-, peri- and post-operative management, with the following elements: information and pre-habilitation, abbreviation of fasting and early reintroduction of food, adequate prophylaxis and correct management of symptoms, reduction of fluids and non-colon preparation, minimally invasive procedures, and early mobilization. For individuals with cancer, the acceleration of the physical and functional recovery after surgery is essential to enable the patient to undergo adjuvant therapies within the recommended therapeutic window. These protocols address the major role physiotherapists play, especially in post-surgery pre-habilitation and early mobilization.Con el incremento de la incidencia mundial del cáncer, ha aumentado también el número de pacientes admitidos para cirugía oncológica. Se recomiendan estrategias para optimizar la recuperación posoperatoria (fast-track surgery), desempeñando el fisioterapeuta un papel fundamental dentro de los equipos de salud que atienden al paciente quirúrgico. Los protocolos de optimización de la recuperación postoperatoria como Enhanced Recovery After Surgery (ERAS) y el Proyecto ACERTO (aceleración de la recuperación posoperatoria total) incluyen un manejo pre, peri y postoperatorio, con los siguientes elementos: información y prehabilitación, abreviación del ayuno y reintroducción temprana de alimentos, profilaxis adecuada y manejo correcto de los síntomas, reducción de líquidos y no preparación del colon, procedimientos mínimamente invasivos y movilización temprana. En personas con cáncer, acelerar la recuperación física y funcional del paciente después de la cirugía es extremadamente importante, para que el paciente pueda someterse a terapias adyuvantes dentro de la ventana terapéutica recomendada. Entre los aspectos de estos protocolos, el fisioterapeuta realiza un papel importante, especialmente en la prehabilitación y movilización temprana después de la cirugía.  Com o aumento da incidência mundial de câncer, a quantidade de pacientes que se internam para realização de cirurgia oncológica também tem aumentado. Medidas de otimização da recuperação pós-operatória (fast-track surgery) são preconizadas, com um papel fundamental do fisioterapeuta dentro das equipes de saúde que prestam assistência a pacientes cirúrgicos. Protocolos de otimização da recuperação pós-operatória como o do Enhanced Recovery After Surgery (ERAS) e do Projeto ACERTO (aceleração da recuperação total pós-operatória) incluem manejos pré, peri e pós-operatórios, tendo como elementos: informações e pré-habilitação, abreviação de jejum e reintrodução precoce da alimentação, profilaxias adequadas e manejos corretos de sintomas, redução de fluidos e não preparo de cólon, procedimentos minimamente invasivos e mobilização precoce. Em pessoas com câncer, agilizar o restabelecimento físico e funcional do paciente após a cirurgia é extremamente importante, de forma a deixar o paciente apto a realizar as terapias adjuvantes dentro da janela terapêutica preconizada. Entre as vertentes desses protocolos, o fisioterapeuta tem grande atuação, principalmente na pré-habilitação e na mobilização precoce após a cirurgia.INCA2023-09-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo de opniãoapplication/pdfapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/439110.32635/2176-9745.RBC.2023v69n3.4391Revista Brasileira de Cancerologia; Vol. 69 No. 3 (2023): July/Aug./Sept.; e-254391Revista Brasileira de Cancerologia; Vol. 69 Núm. 3 (2023): jul./ago./sept.; e-254391Revista Brasileira de Cancerologia; v. 69 n. 3 (2023): jul./ago./set.; e-2543912176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporengspahttps://rbc.inca.gov.br/index.php/revista/article/view/4391/3187https://rbc.inca.gov.br/index.php/revista/article/view/4391/3330https://rbc.inca.gov.br/index.php/revista/article/view/4391/3254https://rbc.inca.gov.br/index.php/revista/article/view/4391/3204Copyright (c) 2023 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRizzi, Samantha Karlla Lopes de Almeida2024-01-10T15:40:33Zoai:rbc.inca.gov.br:article/4391Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2024-01-10T15:40:33Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
Aceleración de la Recuperación Postoperatoria en Pacientes Oncológicos: El Papel del Fisioterapeuta
Aceleração da Recuperação Pós-operatória em Pacientes Oncológicos: O Papel do Fisioterapeuta
title Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
spellingShingle Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
Rizzi, Samantha Karlla Lopes de Almeida
cuidados pós-operatórios
fisioterapeutas
oncologia cirúrgica
postoperative care
physical therapists
surgical oncology
cuidados posoperatorios
fisioterapeutas
oncología quirúrgica
title_short Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
title_full Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
title_fullStr Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
title_full_unstemmed Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
title_sort Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
author Rizzi, Samantha Karlla Lopes de Almeida
author_facet Rizzi, Samantha Karlla Lopes de Almeida
author_role author
dc.contributor.author.fl_str_mv Rizzi, Samantha Karlla Lopes de Almeida
dc.subject.por.fl_str_mv cuidados pós-operatórios
fisioterapeutas
oncologia cirúrgica
postoperative care
physical therapists
surgical oncology
cuidados posoperatorios
fisioterapeutas
oncología quirúrgica
topic cuidados pós-operatórios
fisioterapeutas
oncologia cirúrgica
postoperative care
physical therapists
surgical oncology
cuidados posoperatorios
fisioterapeutas
oncología quirúrgica
description Due to the increase of the global cancer incidence, the number of patients admitted for cancer surgery has risen as well. Strategies to optimize postoperative recovery (fast-track surgery) are recommended, and physiotherapists play a key role in health teams caring for surgical patients. Post-operative recovery optimization protocols such as Enhanced Recovery After Surgery (ERAS) and the ACERTO Project (acceleration of total post-operative recovery) include pre-, peri- and post-operative management, with the following elements: information and pre-habilitation, abbreviation of fasting and early reintroduction of food, adequate prophylaxis and correct management of symptoms, reduction of fluids and non-colon preparation, minimally invasive procedures, and early mobilization. For individuals with cancer, the acceleration of the physical and functional recovery after surgery is essential to enable the patient to undergo adjuvant therapies within the recommended therapeutic window. These protocols address the major role physiotherapists play, especially in post-surgery pre-habilitation and early mobilization.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-20
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo de opnião
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4391
10.32635/2176-9745.RBC.2023v69n3.4391
url https://rbc.inca.gov.br/index.php/revista/article/view/4391
identifier_str_mv 10.32635/2176-9745.RBC.2023v69n3.4391
dc.language.iso.fl_str_mv por
eng
spa
language por
eng
spa
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4391/3187
https://rbc.inca.gov.br/index.php/revista/article/view/4391/3330
https://rbc.inca.gov.br/index.php/revista/article/view/4391/3254
https://rbc.inca.gov.br/index.php/revista/article/view/4391/3204
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
text/html
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 69 No. 3 (2023): July/Aug./Sept.; e-254391
Revista Brasileira de Cancerologia; Vol. 69 Núm. 3 (2023): jul./ago./sept.; e-254391
Revista Brasileira de Cancerologia; v. 69 n. 3 (2023): jul./ago./set.; e-254391
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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