Fast-track surgery-an update on physiological care principles to enhance recovery

被引：129

作者：

Kehlet, Henrik ^{[1
]}

机构：

[1] Univ Copenhagen, Rigshosp, Sect Surg Pathophysiol, DK-2100 Copenhagen, Denmark

来源：

LANGENBECKS ARCHIVES OF SURGERY | 2011年 / 396卷 / 05期

关键词：

Fast-track surgery; Enhanced recovery programs; Perioperative care; RANDOMIZED CLINICAL-TRIAL; PREOPERATIVE ORAL CARBOHYDRATE; POSTOPERATIVE PAIN MANAGEMENT; OPEN COLORECTAL SURGERY; RISK SURGICAL-PATIENTS; CARDIOVASCULAR-RESPONSE; MULTIMODAL APPROACH; INSULIN-RESISTANCE; DOUBLE-BLIND; PLACEBO;

D O I：

10.1007/s00423-011-0790-y

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The concept of fast-track surgery (enhanced recovery programs) has been evolved and been documented to be successful by decreasing length of stay, morbidity and convalescence across procedures. However, there are several possibilities for further improvement of most of the components of fast-track surgery, where surgical stress, fluid and pain management are key factors. There is an urgent need for better design of studies, especially in minimal invasive surgery to achieve maximal outcome effects when integrated into the fast-track methodology.

引用

页码：585 / 590

页数：6

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