{"id":5558,"date":"2026-10-25T19:57:22","date_gmt":"2026-10-25T18:57:22","guid":{"rendered":"https:\/\/srses.org\/?page_id=5558"},"modified":"2026-10-25T20:12:08","modified_gmt":"2026-10-25T19:12:08","slug":"eras-2025","status":"publish","type":"page","link":"https:\/\/srses.org\/?page_id=5558","title":{"rendered":"ERAS 2025"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5558\" class=\"elementor elementor-5558\">\n\t\t\t\t<div class=\"elementor-element elementor-element-54594a8 e-flex e-con-boxed e-con e-parent\" data-id=\"54594a8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9c520f3 elementor-widget elementor-widget-text-editor\" data-id=\"9c520f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>USPE\u0160NO ODR\u017dAN SIMPOZIJUM ERAS SSES 2025: Primena ERAS protokola u urgentnoj hirurgiji \u2013 korak napred u zbrinjavanju kriti\u010dno obolelih<\/strong><\/p><p><strong>Srpsko udru\u017eenje urgentne hirurgije (SSES) uspe\u0161no je organizovalo stru\u010dni simpozijum posve\u0107en implementaciji ERAS (Enhanced Recovery After Surgery) protokola u oblasti urgentne hirurgije<\/strong>. Ovaj zna\u010dajan nau\u010dni i prakti\u010dni skup okupio je vode\u0107e doma\u0107e i regionalne stru\u010dnjake \u2013 hirurge, anesteziologe i intenziviste \u2013 sa zajedni\u010dkim ciljem: standardizacijom perioperativne nege i optimizacijom ishoda le\u010denja kod hitnih hirur\u0161kih pacijenata.<\/p><p>Kontinuirana edukacija i uvo\u0111enje savremenih, na dokazima zasnovanih medicinskih smernica ostaju imperativ u radu na\u0161eg udru\u017eenja. Tradicionalno posmatran kao standard u elektivnoj (planiranoj) hirurgiji, ERAS protokol sada uspe\u0161no pronalazi svoj put i u urgentna stanja, gde svaka sekunda i sistemski pristup zna\u010de spasavanje ljudskih \u017eivota.<\/p><p><strong>O temi: \u0160ta donosi ERAS u urgentnu hirurgiju?<\/strong><\/p><p><strong>ERAS (Enhanced Recovery After Surgery)<\/strong> predstavlja multidisciplinarni, multimodalni koncept perioperativne nege koji potpuno menja tradicionalne hirur\u0161ke dogme. Fokus protokola je na <strong>smanjenju hirur\u0161kog stresa, o\u010duvanju fiziolo\u0161kih funkcija pacijenta i ubrzanju njegovog oporavka<\/strong>.<\/p><p>Dokazano je da pravilna primena ERAS principa:<\/p><ul><li><strong>Smanjuje stopu postoperativnih komplikacija<\/strong> za \u010dak 30% do 50%.<\/li><li><strong>Skra\u0107uje du\u017einu bolni\u010dkog le\u010denja<\/strong> (i do 30%), omogu\u0107avaju\u0107i pacijentima br\u017ei povratak svakodnevnim aktivnostima.<\/li><li><strong>Zna\u010dajno smanjuje ukupne tro\u0161kove zdravstvenog sistema<\/strong>.<\/li><\/ul><p><strong>Tri klju\u010dna stuba ERAS protokola u hitnim stanjima:<\/strong><\/p><ol><li><strong>Preoperativna faza (Brza optimizacija):<\/strong> Iako urgentni pacijenti ne dozvoljavaju dugotrajnu pripremu kao elektivni, ERAS u hitnim stanjima (poput urgentnih laparotomija) podrazumeva brzu, strukturisanu reanimaciju, ciljanu optimizaciju volemije i nutritivnog statusa, kao i ranu antibiotsku terapiju.<\/li><li><strong>Intraoperativna faza (Standardizacija hirurgije i anestezije):<\/strong> Fokus je na primeni minimalno invazivnih tehnika gde god je to mogu\u0107e, izbegavanju rutinskog postavljanja drenova i sondi, kao i na primeni multimodalne anestezije i analgezije kako bi se smanjila upotreba opioida.<\/li><li><strong>Postoperativna faza (Rana mobilizacija i rehabilitacija):<\/strong> Podrazumeva ranu ekstubaciju pacijenata, adekvatnu individualizovanu kontrolu bola, rano zapo\u010dinjanje peroralne ishrane i brzu fizikalnu aktivaciju kako bi se spre\u010dile komplikacije poput duboke venske tromboze ili hipostatske pneumonije.<\/li><\/ol><p><strong>Multidisciplinarnost kao klju\u010d uspeha<\/strong><\/p><p>Tokom simpozijuma, kroz niz predavanja i interaktivnih diskusija, istaknuto je da ERAS nije protokol koji sprovodi samo jedan lekar. To je <strong>timski rad cele perioperativne zajednice<\/strong> \u2013 od hirurga i anesteziologa, preko intenzivista, pa sve do instrumenarki, medicinskih sestara i tehni\u010dara na odeljenjima.<\/p><p>U\u010desnici su imali priliku da \u010duju najnovije preporuke Me\u0111unarodnog ERAS dru\u0161tva \u00a0za urgentnu op\u0161tu hirurgiju i traumu (ERATIC smernice), kao i da razmene iskustva o izazovima sa kojima se susre\u0107u u svakodnevnoj praksi prilikom implementacije ovih protokola u doma\u0107im zdravstvenim ustanovama.<\/p><p><strong>Pogled u budu\u0107nost<\/strong><\/p><p>Zatvaraju\u0107i simpozijum, rukovodstvo Srpskog udru\u017eenja urgentne hirurgije (SSES) poru\u010dilo je da je ovaj skup samo jedan u nizu koraka ka kreiranju i realizaciji zvani\u010dnih nacionalnih vodi\u010da za hitna hirur\u0161ka stanja. Podizanjem kvaliteta edukacije i uvo\u0111enjem pametnih medicinskih protokola, SSES nastavlja da pozicionira doma\u0107u urgentnu hirurgiju u sam vrh savremene evropske i svetske medicine.<\/p><p>Zahvaljujemo se svim predava\u010dima, sponzorima i u\u010desnicima koji su svojim prisustvom i diskusijom doprineli uspehu ovog simpozijuma!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b3d35a2 e-flex e-con-boxed e-con e-parent\" data-id=\"b3d35a2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1434faa elementor-widget elementor-widget-image-gallery\" data-id=\"1434faa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-gallery.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-gallery\">\n\t\t\t<div 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