Enhanced Recovery After Surgery in Oncologic Patients: The Role of the Physiotherapist
Autor(a) principal: | |
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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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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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