title: Do we really apply fast-track surgery?
abstract: OBJECTIVE
  The aim of this study is to show the current view on fast-track programs optimizing the perioperative care.
  
  
  METHODS
  Authors searched Medline databases and identified current trials regarding all factors of fast-track programs. They analyzed these trials and identified the most important principles of fast-track programs based on trial analysis.
  
  
  RESULTS
  The most important principles are consistent in all individual trials. Most of authors recommend 10-12 issues. All authors emphasize early mobilization of patients after surgery and early introduction of peroral nutrition. Fast-track programs shorten the duration of hospitalisation and decrease morbidity.
  
  
  CONCLUSIONS
  The perioperative care is characterized by a range of trussing traditions. Fast-track surgery optimizes the perioperative care. It is a safe method according to the trials. The implementation of single fast-track surgery factors is very slow (Tab. 2, Ref. 49).
authors.affiliation: Department of Surgery, City Hospital, Ostrava, The Czech Republic. pavel.zonca@hotmail.co.uk
authors.forename: P
authors.initials: P
authors.lastname: Zonca
authors.forename: J
authors.initials: J
authors.lastname: Stigler
authors.forename: T
authors.initials: T
authors.lastname: Maly
authors.forename: C
authors.initials: C
authors.lastname: Neoral
authors.forename: M
authors.initials: M
authors.lastname: Hajek
authors.forename: S
authors.initials: S
authors.lastname: Stiglerova
mesh_terms: D006801:Humans; D007902:Length of Stay; D019990:Perioperative Care / Q000379:methods*