[Fast track surgery--enhanced multimodal rehabilitation after surgery].
Despite constant improvements in surgical technique and perioperative care which led to significant reductions in mortality and morbidity after general surgery, complication rates after major abdominal surgery still reach 15-40%. The main cause of postoperative complications (not linked to surgical technique itself) is the perioperative stress reaction potentiated by pain, inadequate perioperative fluid management, immobilisation and hypothermia. Multimodal rehabilitation of surgical patients represents the practical application of advances in surgery, anaesthesiology and postoperative rehabilitation with the aim of reducing perioperative stressors and facilitating an early return of the patient to his/her preoperative functional status. Besides discussing various aspects of multimodal rehabilitation, the authors present their own first experiences with its introduction into everyday clinical practice.
Oremus
Kresimir
K
Klinika za anesteziologiju, reanimatologiju i intenzivno lijecenje, KBC Zagreb.
Korolija
Dragan
D
Skegro
Mate
M
Majerić-Kogler
Visnja
V
Tonković
Dinko
D
Silovski
Hrvoje
H
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000758:Anesthesia; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care