Fast-track protocols in colorectal surgery

被引：19
|
作者：
Donohoe, Claire L. [1 ]
Mai Nguyen [1 ]
Cook, Jessica [1 ]
Murray, Sarah Geagan [1 ]
Chen, Nicole [1 ]
Zaki, Fardziana [1 ]
Mehigan, Brian J. [1 ]
McCormick, Paul H. [1 ]
Reynolds, John V. [1 ]
机构：
[1] St James Hosp, Trinity Coll Dublin, Dept Surg, Trinity Ctr Hlth Sci, Dublin 8, Ireland
来源：
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND | 2011年 / 9卷 / 02期
关键词：
Fast-track surgery; Colorectal; Mechanical bowel preparation; Epidural; Fluid restriction; Early enteral feeding; MECHANICAL BOWEL PREPARATION; PATIENT-CONTROLLED ANALGESIA; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; LAPAROSCOPIC COLONIC RESECTION; RANDOMIZED CONTROLLED-TRIAL; EPIDURAL-ANESTHESIA; POSTOPERATIVE ANALGESIA; MULTIMODAL ANALGESIA; BLADDER DRAINAGE; CLINICAL-TRIAL;
D O I：
10.1016/j.surge.2010.07.013
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Fast-track surgery (FTS) is a set of protocols aimed to reduce the physiological burden of surgery thus improving outcomes. FTS aims to use evidence-based practice to reduce complications, improve post-operative quality of life and decrease hospital length of stay. This review seeks to examine the evidence base for protocols employed in colorectal surgery in the areas of pre-operative preparation, anaesthetic management, intraoperative and surgical factors and post-operative care. Despite the evidence that recovery after colorectal surgery can be enhanced by using these approaches, implementation of FTS protocols has been slow. Acceptance of FTS protocols by all members of the multi-disciplinary team and a change in organisational structure to accommodate structured perioperative care, are imperative to implementation. (C) 2010 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：95 / 103
页数：9
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