Do we really apply fast-track surgery?
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).
Zonca
P
P
Department of Surgery, City Hospital, Ostrava, The Czech Republic. pavel.zonca@hotmail.co.uk
Stigler
J
J
Maly
T
T
Neoral
C
C
Hajek
M
M
Stiglerova
S
S
D006801:Humans; D007902:Length of Stay; D019990:Perioperative Care / Q000379:methods*