[Fast-track rehabilitation in colon surgery. Contribution of anesthesia].
Fast-track rehabilitation refers to an interdisciplinary multimodal procedure to improve and accelerate recovery and avoid perioperative complications. The concept aims at reducing morbidity and discharging patients faster. It includes preoperative patient information, atraumatic surgical technique, stress reduction, pain therapy mostly via regional anesthetic techniques (frequently, thoracic epidural anesthesia), optimized fluid and temperature management, early enteral feeding, prophylaxis of gastrointestinal atony and postoperative nausea and vomiting, fast postoperative patient mobilization, and earlier hospital discharge. Fast-track protocols exist for all kind of surgical procedures but are best established for colon surgery.
Möllhoff
T
T
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Marienhospital Aachen, Zeise 4, 52066 Aachen. anaesthesie@marienhospital.de
Kress
H-J
HJ
Tsompanidis
K
K
Wolf
C
C
Ploum
P
P
D000758:Anesthesia; D000768:Anesthesia, General; D001833:Body Temperature Regulation / Q000502:physiology; D003106:Colon / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D005440:Fluid Therapy; D006801:Humans; D019148:Neuromuscular Blockade; D010149:Postoperative Pain / Q000534:rehabilitation / Q000628:therapy; D011182:Postoperative Care; D020250:Postoperative Nausea and Vomiting / Q000517:prevention & control; D011229:Preanesthetic Medication