Abstract：
BACKGROUND: Clinical care pathways help guide and provide structure to clinicians and providers to improve healthcare delivery and quality. The Quality Improvement and Patient Safety Committee (QIPS) of the American Society for Metabolic and Bariatric Surgery (ASMBS) has previously published care pathways for the performance of laparoscopic sleeve gastrectomy (LSG) and pre-operative care of patients undergoing Roux-en-Y gastric bypass (RYGB).
OBJECTIVE: This current RYGB care pathway was created to address intraoperative care, defined as care occurring on the day of surgery from the preoperative holding area, through the operating room, and into the postanesthesia care unit (PACU).
METHODS: PubMed queries were performed from January 2001 to December 2019 and reviewed according to Level of Evidence regarding specific key questions developed by the committee.
RESULTS: Evidence-based recommendations are made for care of patients undergoing RYGB including the pre-operative holding area, intra-operative management and performance of RYGB, and concurrent procedures.
CONCLUSIONS: This document may provide guidance based on recent evidence to bariatric surgeons and providers for the intra-operative care for minimally invasive RYGB.
OBJECTIVE: This current RYGB care pathway was created to address intraoperative care, defined as care occurring on the day of surgery from the preoperative holding area, through the operating room, and into the postanesthesia care unit (PACU).
METHODS: PubMed queries were performed from January 2001 to December 2019 and reviewed according to Level of Evidence regarding specific key questions developed by the committee.
RESULTS: Evidence-based recommendations are made for care of patients undergoing RYGB including the pre-operative holding area, intra-operative management and performance of RYGB, and concurrent procedures.
CONCLUSIONS: This document may provide guidance based on recent evidence to bariatric surgeons and providers for the intra-operative care for minimally invasive RYGB.
摘要：
背景：临床护理路径有助于为临床医生和提供者提供指导和结构，以改善医疗保健服务和质量。美国代谢和减肥外科学会（ASMBS）的质量改进和患者安全委员会（QIPS）先前已发布了有关腹腔镜袖状胃切除术（LSG）和Roux-en-Y胃旁路术（RYGB）患者术前护理的护理途径。
目的：当前的RYGB护理路径旨在解决术中护理问题，定义为在手术当天从术前保持区域进行的护理，穿过手术室,并进入麻醉后监护室（PACU）。
方法：PubMed查询于2001年1月至2019年12月进行，并根据委员会提出的具体关键问题的证据级别进行审查。
结果：为接受RYGB的患者提供了循证建议，包括术前保持区域，RYGB的术中管理和性能，和并行程序。
结论：本文件可以根据最近的证据为减肥外科医生和提供者提供微创RYGB的术中护理提供指导。
目的：当前的RYGB护理路径旨在解决术中护理问题，定义为在手术当天从术前保持区域进行的护理，穿过手术室,并进入麻醉后监护室（PACU）。
方法：PubMed查询于2001年1月至2019年12月进行，并根据委员会提出的具体关键问题的证据级别进行审查。
结果：为接受RYGB的患者提供了循证建议，包括术前保持区域，RYGB的术中管理和性能，和并行程序。
结论：本文件可以根据最近的证据为减肥外科医生和提供者提供微创RYGB的术中护理提供指导。
