Fast-track colorectal surgery
2008; Elsevier BV; Volume: 371; Issue: 9615 Linguagem: Inglês
10.1016/s0140-6736(08)60357-8
ISSN1474-547X
Autores Tópico(s)Anesthesia and Pain Management
ResumoPerioperative care has been improved with newer anaesthetic and analgesic techniques, development of minimally invasive surgery, and drugs to reduce surgical stress. 1 Kehlet H Dahl JB Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003; 362: 1921-1928 Summary Full Text Full Text PDF PubMed Scopus (1103) Google Scholar , 2 White PF Kehlet H Neal JM Schricker T Carr DB Carli F The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg. 2007; 104: 1380-1396 Crossref PubMed Scopus (343) Google Scholar Fast-track surgery or enhanced postoperative recovery programmes have been developed by combining these techniques with evidence-based adjustments to the use of nasogastric tubes, drains, and urinary catheters, preoperative bowel preparation, and early initiation of oral feeding and mobilisation. The aim of these programmes has been to provide pain-free and stress-free operations with lower rates of organ dysfunction, thereby reducing morbidity and enhancing recovery. If successful, the need for hospitalisation after surgery will be reduced.
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