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
相关论文
共 50 条
  • [21] Fast-track surgery in elderly patients undergoing colorectal cancer radical resection
    Kong, Hong-Yan
    Yang, Ai-Ling
    Ying, Cai-Ya
    Kong, Zhen-Fang
    Yuan, Ling-Ling
    Hu, Shan-Shan
    Zhang, Shun
    INTERNATIONAL JOURNAL OF NURSING SCIENCES, 2014, 1 (04): : 381 - 384
  • [22] A systematic review and meta-analysis of the safety profile of fast-track surgery for colorectal surgery
    Jin Heiying
    Qiang Leng
    Wei Gong
    CENTRAL EUROPEAN JOURNAL OF MEDICINE, 2013, 8 (04): : 398 - 405
  • [23] Fast-track improves post-operative nutrition and outcomes of colorectal surgery: a single-center prospective trial in China
    Li, Ka
    Li, Ji-Ping
    Peng, Nan-hai
    Jiang, Li-li
    Hu, Yan-Jie
    Huang, Ming-Jun
    ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION, 2014, 23 (01) : 41 - 47
  • [24] Nursing care in fast-track surgery strategy
    Koziel, Dorota
    Stepien, Renata B.
    Gluszek-Osuch, Martyna
    Gluszek, Stanislaw
    MEDICAL STUDIES-STUDIA MEDYCZNE, 2015, 31 (03) : 207 - 212
  • [25] Sugammadex Allows Fast-Track Bariatric Surgery
    Carron, Michele
    Veronese, Stefano
    Foletto, Mirto
    Ori, Carlo
    OBESITY SURGERY, 2013, 23 (10) : 1558 - 1563
  • [26] Sugammadex Allows Fast-Track Bariatric Surgery
    Michele Carron
    Stefano Veronese
    Mirto Foletto
    Carlo Ori
    Obesity Surgery, 2013, 23 : 1558 - 1563
  • [27] The development of fast-track principles in gynecological surgery
    Wodlin, Ninnie Borendal
    Nilsson, Lena
    ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2013, 92 (01) : 17 - 27
  • [28] Fast-track anesthetic techniques for ambulatory surgery
    White, Paul F.
    Eng, Matthew
    CURRENT OPINION IN ANESTHESIOLOGY, 2007, 20 (06) : 545 - 557
  • [29] Fast-track vs standard care in colorectal surgery: a meta-analysis update
    Gouvas, Nikolaos
    Tan, Emile
    Windsor, Alistair
    Xynos, Evaghelos
    Tekkis, Paris P.
    INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2009, 24 (10) : 1119 - 1131
  • [30] Patients' Perspectives of Fast-Track Surgery and the Role of the Fast-Track Clinical Nurse Consultant in Gynecological Oncology
    Philp, Shannon
    Carter, J.
    Barnett, C.
    D'Abrew, N.
    Pather, S.
    White, K.
    HOLISTIC NURSING PRACTICE, 2015, 29 (03) : 158 - 166